Charles Kilmer in Spearfish - Physician Assistant

Charles Kilmer - NPI 1790723146

Charles Kilmer is a Physician Assistant in Spearfish, South Dakota. Charles Kilmer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charles Kilmer is 1790723146. The last update date is 2007-07-08.

Charles Kilmer's current location address is 383 Oak Ridge Rd, Spearfish, South Dakota. You can contact this provider via phone number 6057207069. The mailing address for Charles Kilmer is 383 Oak Ridge Rd, Spearfish, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Kilmer
Address 383 Oak Ridge Rd, Spearfish, South Dakota
Phone Number 6057207069
Fax Number
Sole Proprietor X
Credentials PHYSICIAN

NPI Number Detail

NPI Number 1790723146
Provider Enumeration Date 2006-06-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 383 Oak Ridge Rd
City Spearfish
State South Dakota (SD)
Post Code 577838663
Phone Number 6057207069
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 209
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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FAQs about Charles Kilmer

What is the unique 10-digit identification code issued to Charles Kilmer by the Centers for Medicare & Medicaid Services?

The Charles Kilmer has been assigned the NPI (National Provider Identifier) 1790723146 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Charles Kilmer is located?

The Charles Kilmer is situated at the following address: 383 Oak Ridge Rd, Spearfish, SD, 577838663.

What is Charles Kilmer'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 Charles Kilmer is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1790723146 to Charles Kilmer?

The Centers for Medicare & Medicaid Services originally issued the 1790723146 to Charles Kilmer on 2006-06-04.

As of what date was the information pertaining to Charles Kilmer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Charles Kilmer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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