Susan D Kewer in North Chesterfield - Physician Assistant

Susan D Kewer - NPI 1508832783

Susan D Kewer is a Physician Assistant in North Chesterfield, Virginia. Susan D Kewer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan D Kewer is 1508832783. The last update date is 2020-09-02.

Susan D Kewer's current location address is 1115 Boulders Pkwy, North Chesterfield, Virginia. You can contact this provider via phone number 8045605595 and fax number 8045609029. The mailing address for Susan D Kewer is 1115 Boulders Pkwy, North Chesterfield, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan D Kewer
Address 1115 Boulders Pkwy, North Chesterfield, Virginia
Phone Number 8045605595
Fax Number 8045609029
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1508832783
Provider Enumeration Date 2006-02-27
Last Updated Date 2020-09-02

Provider Mailing Address Detail

Address 1115 Boulders Pkwy
City North Chesterfield
State Virginia (VA)
Post Code 232254067
Phone Number 8045605595
Fax Number 8045609029

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 110001950
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1508832783 VA --
P00630298 VA RAILROAD MEDICARE

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FAQs about Susan D Kewer

What is the Susan D Kewer's unique identification number?

The Susan D Kewer has been assigned the NPI (National Provider Identifier) Number 1508832783 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Susan D Kewer is physically located?

The Susan D Kewer is physically situated at the following address: 1115 Boulders Pkwy, North Chesterfield, VA, 232254067.

What is Susan D Kewer's specialized field of practice, and what is the corresponding taxonomy classification code?

The Susan D Kewer's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1508832783 to Susan D Kewer?

The Centers for Medicare & Medicaid Services originally issued the 1508832783 to Susan D Kewer on 2006-02-27.

When was the information pertaining to Susan D Kewer most recently updated or revised?

The details related to Susan D Kewer, including its address, specialty, and other relevant information, were last updated or revised on 2020-09-02.

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