Pollyanna Kabara in Kenosha - Physician Assistant
Pollyanna Kabara - NPI 1134173479
Pollyanna Kabara is a Physician Assistant in Kenosha, Wisconsin. Pollyanna Kabara practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Pollyanna Kabara is 1134173479. The last update date is 2022-01-11.
Pollyanna Kabara's current location address is Lakeside Pediatrics, Kenosha, Wisconsin. You can contact this provider via phone number 2626529430 and fax number 2626529433. The mailing address for Pollyanna Kabara is Lakeside Pediatrics, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pollyanna Kabara |
|---|---|
| Address | Lakeside Pediatrics, Kenosha, Wisconsin |
| Phone Number | 2626529430 |
| Fax Number | 2626529433 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1134173479 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2022-01-11 |
Provider Mailing Address Detail
| Address | Lakeside Pediatrics |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 53142 |
| Phone Number | 2626529430 |
| Fax Number | 2626529433 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1389 |
|
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 |
|---|---|---|---|
| 1134173479 | WI | -- | |
| 008006261X | HUMANA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pollyanna Kabara by the Centers for Medicare & Medicaid Services?
The Pollyanna Kabara has been assigned the NPI (National Provider Identifier) 1134173479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Pollyanna Kabara is located?
The Pollyanna Kabara is situated at the following address: Lakeside Pediatrics, Kenosha, WI, 53142.
What is the Pollyanna Kabara's specialty and taxonomy code?
The Pollyanna Kabara's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did the Pollyanna Kabara receive its 1134173479?
The Pollyanna Kabara was issued its 1134173479 on 2006-05-20, which is the date when the organization was assigned this unique identifier.
When was the information regarding Pollyanna Kabara most recently updated?
The details pertaining to the Pollyanna Kabara, including its address, specialty, and other relevant information, were last refreshed on 2022-01-11.