Kevin Joseph Green in Johnstown - Physician Assistant
Kevin Joseph Green - NPI 1053521302
Kevin Joseph Green is a Physician Assistant in Johnstown, Pennsylvania. Kevin Joseph Green practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kevin Joseph Green is 1053521302. The last update date is 2014-04-25.
Kevin Joseph Green's current location address is 1450 Scalp Ave, Johnstown, Pennsylvania. You can contact this provider via phone number 8142668466 and fax number 8142660177. The mailing address for Kevin Joseph Green is 1450 Scalp Ave, Johnstown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Joseph Green |
|---|---|
| Address | 1450 Scalp Ave, Johnstown, Pennsylvania |
| Phone Number | 8142668466 |
| Fax Number | 8142660177 |
| Sole Proprietor | N |
| Credentials | P.A |
NPI Number Detail
| NPI Number | 1053521302 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2014-04-25 |
Provider Mailing Address Detail
| Address | 1450 Scalp Ave |
|---|---|
| City | Johnstown |
| State | Pennsylvania (PA) |
| Post Code | 159043374 |
| Phone Number | 8142668466 |
| Fax Number | 8142660177 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA002387-L |
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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 unique identifier code issued to Kevin Joseph Green by the Centers for Medicare & Medicaid Services?
The Kevin Joseph Green has been assigned the NPI (National Provider Identifier) 1053521302. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kevin Joseph Green located?
The Kevin Joseph Green is located at 1450 Scalp Ave, Johnstown, PA 159043374.
What is Kevin Joseph Green's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kevin Joseph Green is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Kevin Joseph Green receive the assignment of its 1053521302 from the Centers for Medicare & Medicaid Services?
The Kevin Joseph Green was issued its 1053521302 by the Centers for Medicare & Medicaid Services on 2007-05-23.
When was the Kevin Joseph Green's information last updated?
The Kevin Joseph Green's information was last updated on 2014-04-25.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC