Melissa Lynn Kemp in Tyler - Physician Assistant
Melissa Lynn Kemp - NPI 1922127570
Melissa Lynn Kemp is a Physician Assistant in Tyler, Texas. Melissa Lynn Kemp practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Melissa Lynn Kemp is 1922127570. The last update date is 2022-07-21.
Melissa Lynn Kemp's current location address is 5414 S Broadway Ave, Tyler, Texas. You can contact this provider via phone number 9035811601. The mailing address for Melissa Lynn Kemp is 5414 S Broadway Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Lynn Kemp |
|---|---|
| Address | 5414 S Broadway Ave, Tyler, Texas |
| Phone Number | 9035811601 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C, DHSC |
NPI Number Detail
| NPI Number | 1922127570 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 5414 S Broadway Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757031335 |
| Phone Number | 9035811601 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04231 |
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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 |
|---|---|---|---|
| P01784198 | TX | RAIL ROAD MEDICARE | |
| 75-0818167-022 | TX | TRICARE | |
| 8454MB | TX | BCBS | |
| 287823305 | TX | -- | |
| 75-2616977-001 | TX | TRICARE | |
| 75-2616977-028 | TX | TRICARE | |
| 287823304 | TX | -- | |
| 75-2616977-002 | TX | TRICARE | |
| 75-2616977-129 | TX | TRICARE | |
| 8455MB | TX | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Melissa Lynn Kemp by the Centers for Medicare & Medicaid Services (CMS)?
The Melissa Lynn Kemp has been assigned the NPI (National Provider Identifier) 1922127570. 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 Melissa Lynn Kemp is geographically located?
The Melissa Lynn Kemp is physically situated at the following location: 5414 S Broadway Ave, Tyler, TX, 757031335.
What is Melissa Lynn Kemp'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 Melissa Lynn Kemp 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 assign the 1922127570 to Melissa Lynn Kemp?
The Centers for Medicare & Medicaid Services assigned the 1922127570 to Melissa Lynn Kemp on 2007-03-28.
When was the information pertaining to Melissa Lynn Kemp most recently updated or revised?
The details related to Melissa Lynn Kemp, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.
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