Kris D Clark in Glen Allen - Physician Assistant
Kris D Clark - NPI 1154318624
Kris D Clark is a Physician Assistant in Glen Allen, Virginia. Kris D Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kris D Clark is 1154318624. The last update date is 2021-03-22.
Kris D Clark's current location address is 5000 Cox Rd, Glen Allen, Virginia. You can contact this provider via phone number 8049685700 and fax number 8042177991. The mailing address for Kris D Clark is 5000 Cox Rd, Glen Allen, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kris D Clark |
|---|---|
| Address | 5000 Cox Rd, Glen Allen, Virginia |
| Phone Number | 8049685700 |
| Fax Number | 8042177991 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1154318624 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2021-03-22 |
Provider Mailing Address Detail
| Address | 5000 Cox Rd |
|---|---|
| City | Glen Allen |
| State | Virginia (VA) |
| Post Code | 230609263 |
| Phone Number | 8049685700 |
| Fax Number | 8042177991 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 110002643 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Kris D Clark by the Centers for Medicare & Medicaid Services?
The Kris D Clark has been assigned the NPI (National Provider Identifier) 1154318624. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kris D Clark is physically located?
The Kris D Clark is physically situated at the following address: 5000 Cox Rd, Glen Allen, VA, 230609263.
What is Kris D Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kris D Clark is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Kris D Clark receive the assignment of its 1154318624 from the Centers for Medicare & Medicaid Services?
The Kris D Clark was issued its 1154318624 by the Centers for Medicare & Medicaid Services on 2005-09-30.
As of what date was the information pertaining to Kris D Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kris D Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-22.