Todd Edward Kennedy in Statesville - Physician Assistant
Todd Edward Kennedy - NPI 1720080393
Todd Edward Kennedy is a Physician Assistant in Statesville, North Carolina. Todd Edward Kennedy practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Todd Edward Kennedy is 1720080393. The last update date is 2018-07-17.
Todd Edward Kennedy's current location address is Po Box 1845, Statesville, North Carolina. You can contact this provider via phone number 7048734277 and fax number 7049783549. The mailing address for Todd Edward Kennedy is Po Box 1845, Statesville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd Edward Kennedy |
|---|---|
| Address | Po Box 1845, Statesville, North Carolina |
| Phone Number | 7048734277 |
| Fax Number | 7049783549 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1720080393 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2018-07-17 |
Provider Mailing Address Detail
| Address | Po Box 1845 |
|---|---|
| City | Statesville |
| State | North Carolina (NC) |
| Post Code | 286871845 |
| Phone Number | 7048734277 |
| Fax Number | 7049783549 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 103906 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Todd Edward Kennedy by the Centers for Medicare & Medicaid Services?
The Todd Edward Kennedy has been issued the NPI (National Provider Identifier) 1720080393, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Todd Edward Kennedy?
The Todd Edward Kennedy is situated at Po Box 1845, in the city of Statesville, state of NC, with the zip code 286871845.
What is Todd Edward Kennedy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Todd Edward Kennedy's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720080393 to Todd Edward Kennedy?
The Todd Edward Kennedy received its 1720080393 assignment from the Centers for Medicare & Medicaid Services on 2005-08-12.
As of what date was the information pertaining to Todd Edward Kennedy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Todd Edward Kennedy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-07-17.
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