Kimberly Dawn Haycock in Salt Lake City - Physician Assistant
Kimberly Dawn Haycock - NPI 1205862208
Kimberly Dawn Haycock is a Physician Assistant in Salt Lake City, Utah. Kimberly Dawn Haycock practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kimberly Dawn Haycock is 1205862208. The last update date is 2016-10-10.
Kimberly Dawn Haycock's current location address is Po Box 30180, Salt Lake City, Utah. You can contact this provider via phone number 4855901124. The mailing address for Kimberly Dawn Haycock is Po Box 30180, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Dawn Haycock |
|---|---|
| Address | Po Box 30180, Salt Lake City, Utah |
| Phone Number | 4855901124 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1205862208 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2016-10-10 |
Provider Mailing Address Detail
| Address | Po Box 30180 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841300180 |
| Phone Number | 4855901124 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5170865-1206 |
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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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What is the unique 10-digit identifier code assigned to Kimberly Dawn Haycock by the Centers for Medicare & Medicaid Services?
The Kimberly Dawn Haycock has been issued the NPI (National Provider Identifier) 1205862208 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kimberly Dawn Haycock's facilities are situated?
The facilities of Kimberly Dawn Haycock are physically located at the following address: Po Box 30180, Salt Lake City, UT, 841300180.
What is the Kimberly Dawn Haycock's area of specialization and corresponding taxonomy classification?
The Kimberly Dawn Haycock's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did Kimberly Dawn Haycock receive its 1205862208 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly Dawn Haycock was assigned its 1205862208 on 2006-06-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kimberly Dawn Haycock last refreshed?
The information related to the Kimberly Dawn Haycock, including its address, specialty, and other relevant details, was last updated on 2016-10-10.
NPI Number: 1215930425
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