Waynette Kingman in Maryville - Physician Assistant
Waynette Kingman - NPI 1538231949
Waynette Kingman is a Physician Assistant in Maryville, Tennessee. Waynette Kingman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Waynette Kingman is 1538231949. The last update date is 2022-08-25.
Waynette Kingman's current location address is 103 W Broadway Ave, Maryville, Tennessee. You can contact this provider via phone number 8652731752 and fax number 8652731755. The mailing address for Waynette Kingman is 103 W Broadway Ave, Maryville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Waynette Kingman |
|---|---|
| Address | 103 W Broadway Ave, Maryville, Tennessee |
| Phone Number | 8652731752 |
| Fax Number | 8652731755 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1538231949 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2022-08-25 |
Provider Mailing Address Detail
| Address | 103 W Broadway Ave |
|---|---|
| City | Maryville |
| State | Tennessee (TN) |
| Post Code | 378014703 |
| Phone Number | 8652731752 |
| Fax Number | 8652731755 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1319 |
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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 |
|---|---|---|---|
| 1527899 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Waynette Kingman by the Centers for Medicare & Medicaid Services (CMS)?
The Waynette Kingman has been assigned the NPI (National Provider Identifier) 1538231949. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Waynette Kingman located?
The Waynette Kingman is located at 103 W Broadway Ave, Maryville, TN 378014703.
What is Waynette Kingman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Waynette Kingman is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1538231949 to Waynette Kingman?
The Waynette Kingman received its 1538231949 assignment from the Centers for Medicare & Medicaid Services on 2006-11-14.
As of what date were the details related to Waynette Kingman most recently updated or revised?
The information pertaining to Waynette Kingman, including its address, specialty, and other relevant details, was last updated or revised on 2022-08-25.
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