Kelly Jean Kaldenbach in Weatherford - Physician Assistant
Kelly Jean Kaldenbach - NPI 1679687206
Kelly Jean Kaldenbach is a Physician Assistant in Weatherford, Texas. Kelly Jean Kaldenbach practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Jean Kaldenbach is 1679687206. The last update date is 2015-01-14.
Kelly Jean Kaldenbach's current location address is 891 Eureka St, Weatherford, Texas. You can contact this provider via phone number 8173417600 and fax number 8173417351. The mailing address for Kelly Jean Kaldenbach is 891 Eureka St, Weatherford, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Jean Kaldenbach |
|---|---|
| Address | 891 Eureka St, Weatherford, Texas |
| Phone Number | 8173417600 |
| Fax Number | 8173417351 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1679687206 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2015-01-14 |
Provider Mailing Address Detail
| Address | 891 Eureka St |
|---|---|
| City | Weatherford |
| State | Texas (TX) |
| Post Code | 760865807 |
| Phone Number | 8173417600 |
| Fax Number | 8173417351 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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 |
|---|---|---|---|
| 200945803 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelly Jean Kaldenbach by the Centers for Medicare & Medicaid Services?
The Kelly Jean Kaldenbach has been issued the NPI (National Provider Identifier) 1679687206, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kelly Jean Kaldenbach is located?
The Kelly Jean Kaldenbach is situated at the following address: 891 Eureka St, Weatherford, TX, 760865807.
What is the Kelly Jean Kaldenbach's specialty and taxonomy code?
The Kelly Jean Kaldenbach's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679687206 to Kelly Jean Kaldenbach?
The Centers for Medicare & Medicaid Services originally issued the 1679687206 to Kelly Jean Kaldenbach on 2006-08-19.
As of what date were the details related to Kelly Jean Kaldenbach most recently updated or revised?
The information pertaining to Kelly Jean Kaldenbach, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-14.