Lacy C. Kinney in Dayton - Physician Assistant
Lacy C. Kinney - NPI 1780611459
Lacy C. Kinney is a Physician Assistant in Dayton, Tennessee. Lacy C. Kinney practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lacy C. Kinney is 1780611459. The last update date is 2013-04-10.
Lacy C. Kinney's current location address is 149 Walnut Grove Church Rd, Dayton, Tennessee. You can contact this provider via phone number 4237755512 and fax number 4237750155. The mailing address for Lacy C. Kinney is 149 Walnut Grove Church Rd, Dayton, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lacy C. Kinney |
|---|---|
| Address | 149 Walnut Grove Church Rd, Dayton, Tennessee |
| Phone Number | 4237755512 |
| Fax Number | 4237750155 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1780611459 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2013-04-10 |
Provider Mailing Address Detail
| Address | 149 Walnut Grove Church Rd |
|---|---|
| City | Dayton |
| State | Tennessee (TN) |
| Post Code | 373217925 |
| Phone Number | 4237755512 |
| Fax Number | 4237750155 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1301 |
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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 |
|---|---|---|---|
| 4118477 | TN | BCBS OF TENNESSEE | |
| 891012560 | AL | -- | |
| P00308205 | TN | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Lacy C. Kinney by the Centers for Medicare & Medicaid Services (CMS)?
The Lacy C. Kinney has been assigned the NPI (National Provider Identifier) 1780611459. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Lacy C. Kinney is geographically located?
The Lacy C. Kinney is physically situated at the following location: 149 Walnut Grove Church Rd, Dayton, TN, 373217925.
What is the area of specialization for Lacy C. Kinney, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lacy C. Kinney is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780611459 to Lacy C. Kinney?
The Centers for Medicare & Medicaid Services assigned the 1780611459 to Lacy C. Kinney on 2006-06-27.
As of what date was the information regarding Lacy C. Kinney, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lacy C. Kinney, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-10.
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