Mary Kelley Mccormick in Seattle - Physician Assistant

Mary Kelley Mccormick - NPI 1477724060

Mary Kelley Mccormick is a Physician Assistant in Seattle, Washington. Mary Kelley Mccormick practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary Kelley Mccormick is 1477724060. The last update date is 2021-04-27.

Mary Kelley Mccormick's current location address is 201 16th Ave E, Seattle, Washington. You can contact this provider via phone number 2063263000. The mailing address for Mary Kelley Mccormick is 201 16th Ave E, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Kelley Mccormick
Address 201 16th Ave E, Seattle, Washington
Phone Number 2063263000
Fax Number
Sole Proprietor N
Credentials PA-XC

NPI Number Detail

NPI Number 1477724060
Provider Enumeration Date 2008-03-21
Last Updated Date 2021-04-27

Provider Mailing Address Detail

Address 201 16th Ave E
City Seattle
State Washington (WA)
Post Code 981125226
Phone Number 2063263000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA60471575
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
PA 9106243 FL LICENSE
2038846 WA --
504 MT LICENSE

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FAQs about Mary Kelley Mccormick

What is the Mary Kelley Mccormick's unique identification number?

The Mary Kelley Mccormick has been assigned the NPI (National Provider Identifier) Number 1477724060 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Mary Kelley Mccormick is located?

The Mary Kelley Mccormick is situated at the following address: 201 16Th Ave E, Seattle, WA, 981125226.

What is Mary Kelley Mccormick's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mary Kelley Mccormick is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did Mary Kelley Mccormick receive its 1477724060 assignment from the Centers for Medicare & Medicaid Services?

The Mary Kelley Mccormick was assigned its 1477724060 on 2008-03-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Mary Kelley Mccormick's information last updated?

The Mary Kelley Mccormick's information was last updated on 2021-04-27.

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