Kelly A Clinton in Plano - Physician Assistant
Kelly A Clinton - NPI 1669428876
Kelly A Clinton is a Physician Assistant in Plano, Texas. Kelly A Clinton practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly A Clinton is 1669428876. The last update date is 2012-09-11.
Kelly A Clinton's current location address is 4001 W 15th St, Plano, Texas. You can contact this provider via phone number 9725992559 and fax number 9725991226. The mailing address for Kelly A Clinton is 4001 W 15th St, Plano, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly A Clinton |
|---|---|
| Address | 4001 W 15th St, Plano, Texas |
| Phone Number | 9725992559 |
| Fax Number | 9725991226 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1669428876 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2012-09-11 |
Provider Mailing Address Detail
| Address | 4001 W 15th St |
|---|---|
| City | Plano |
| State | Texas (TX) |
| Post Code | 750935841 |
| Phone Number | 9725992559 |
| Fax Number | 9725991226 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04635 |
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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 |
|---|---|---|---|
| 280826302 | TX | -- | |
| 8Y0105 | TX | BCBS | |
| 280826303 | TX | -- | |
| 1067023 | TX | NCCPA | |
| P01057828 | TX | RAILROAD MEDICARE | |
| 280826301 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kelly A Clinton by the Centers for Medicare & Medicaid Services?
The Kelly A Clinton has been assigned the NPI (National Provider Identifier) 1669428876. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kelly A Clinton?
The Kelly A Clinton is situated at 4001 W 15Th St, in the city of Plano, state of TX, with the zip code 750935841.
What is the area of specialization for Kelly A Clinton, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly A Clinton is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Kelly A Clinton's 1669428876 issued?
The Kelly A Clinton's 1669428876 was issued on 2006-05-26.
When was the Kelly A Clinton's information last updated?
The Kelly A Clinton's information was last updated on 2012-09-11.