Kirsten Ingeborg Sass in Mc Kenzie - Physician Assistant

Kirsten Ingeborg Sass - NPI 1801881131

Kirsten Ingeborg Sass is a Physician Assistant in Mc Kenzie, Tennessee. Kirsten Ingeborg Sass practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kirsten Ingeborg Sass is 1801881131. The last update date is 2013-05-20.

Kirsten Ingeborg Sass's current location address is 205 Hospital Dr, Mc Kenzie, Tennessee. You can contact this provider via phone number 7313527907 and fax number 7313524459. The mailing address for Kirsten Ingeborg Sass is 205 Hospital Dr, Mc Kenzie, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Kirsten Ingeborg Sass
Address 205 Hospital Dr, Mc Kenzie, Tennessee
Phone Number 7313527907
Fax Number 7313524459
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1801881131
Provider Enumeration Date 2005-09-13
Last Updated Date 2013-05-20

Provider Mailing Address Detail

Address 205 Hospital Dr
City Mc Kenzie
State Tennessee (TN)
Post Code 382011649
Phone Number 7313527907
Fax Number 7313524459

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA1262
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3380640 TN MEDICARE GROUP
1510139 TN --
PA1262 TN PA LICENSE NUMBER
3380640 TN MEDICAID GROUP
Q54706 TN UPIN

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FAQs about Kirsten Ingeborg Sass

What is the unique provider identifier assigned to Kirsten Ingeborg Sass?

The Kirsten Ingeborg Sass has been issued the NPI (National Provider Identifier) 1801881131 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Kirsten Ingeborg Sass?

The Kirsten Ingeborg Sass is situated at 205 Hospital Dr, in the city of Mc Kenzie, state of TN, with the zip code 382011649.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1801881131 to Kirsten Ingeborg Sass?

The Centers for Medicare & Medicaid Services originally issued the 1801881131 to Kirsten Ingeborg Sass on 2005-09-13.

As of what date were the details pertaining to Kirsten Ingeborg Sass last refreshed?

The information related to the Kirsten Ingeborg Sass, including its address, specialty, and other relevant details, was last updated on 2013-05-20.

When was the information regarding Kirsten Ingeborg Sass, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kirsten Ingeborg Sass, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-05-20.

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