Katisha Ednacot in Irvine - Physician Assistant
Katisha Ednacot - NPI 1811071475
Katisha Ednacot is a Physician Assistant in Irvine, Kentucky. Katisha Ednacot practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Katisha Ednacot is 1811071475. The last update date is 2020-11-06.
Katisha Ednacot's current location address is 1100 Richmond Rd, Irvine, Kentucky. You can contact this provider via phone number 6067237771. The mailing address for Katisha Ednacot is 1100 Richmond Rd, Irvine, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katisha Ednacot |
|---|---|
| Address | 1100 Richmond Rd, Irvine, Kentucky |
| Phone Number | 6067237771 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1811071475 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2020-11-06 |
Provider Mailing Address Detail
| Address | 1100 Richmond Rd |
|---|---|
| City | Irvine |
| State | Kentucky (KY) |
| Post Code | 403367231 |
| Phone Number | 6067237771 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA919 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 95005864 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Katisha Ednacot by the Centers for Medicare & Medicaid Services?
The Katisha Ednacot has been assigned the NPI (National Provider Identifier) 1811071475. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Katisha Ednacot?
The Katisha Ednacot is physically situated at 1100 Richmond Rd, in the city of Irvine, state of KY, with the postal code 403367231.
What is Katisha Ednacot's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Katisha Ednacot is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Katisha Ednacot receive the assignment of its 1811071475 from the Centers for Medicare & Medicaid Services?
The Katisha Ednacot was issued its 1811071475 by the Centers for Medicare & Medicaid Services on 2006-10-24.
As of what date were the details pertaining to Katisha Ednacot last refreshed?
The information related to the Katisha Ednacot, including its address, specialty, and other relevant details, was last updated on 2020-11-06.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL