Zandi Kafue Fennell in Raleigh - Physician Assistant
Zandi Kafue Fennell - NPI 1770609661
Zandi Kafue Fennell is a Physician Assistant in Raleigh, North Carolina. Zandi Kafue Fennell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Zandi Kafue Fennell is 1770609661. The last update date is 2007-07-08.
Zandi Kafue Fennell's current location address is 1441 Nine Iron Way, Raleigh, North Carolina. You can contact this provider via phone number 9197720075. The mailing address for Zandi Kafue Fennell is 1441 Nine Iron Way, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Zandi Kafue Fennell |
|---|---|
| Address | 1441 Nine Iron Way, Raleigh, North Carolina |
| Phone Number | 9197720075 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1770609661 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1441 Nine Iron Way |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276032867 |
| Phone Number | 9197720075 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 103280 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Zandi Kafue Fennell's unique identification number?
The Zandi Kafue Fennell has been assigned the NPI (National Provider Identifier) Number 1770609661 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Zandi Kafue Fennell?
The Zandi Kafue Fennell is physically situated at 1441 Nine Iron Way, in the city of Raleigh, state of NC, with the postal code 276032867.
What is Zandi Kafue Fennell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Zandi Kafue Fennell is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770609661 to Zandi Kafue Fennell?
The Centers for Medicare & Medicaid Services originally issued the 1770609661 to Zandi Kafue Fennell on 2007-03-22.
When was the information regarding Zandi Kafue Fennell most recently updated?
The details pertaining to the Zandi Kafue Fennell, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.