Paul Kenneth Gavins in Madison - Physician Assistant
Paul Kenneth Gavins - NPI 1952308272
Paul Kenneth Gavins is a Physician Assistant in Madison, Wisconsin. Paul Kenneth Gavins practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Paul Kenneth Gavins is 1952308272. The last update date is 2020-11-24.
Paul Kenneth Gavins's current location address is 700 S Park St, Madison, Wisconsin. You can contact this provider via phone number 6082602900 and fax number 6082603447. The mailing address for Paul Kenneth Gavins is 700 S Park St, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Kenneth Gavins |
|---|---|
| Address | 700 S Park St, Madison, Wisconsin |
| Phone Number | 6082602900 |
| Fax Number | 6082603447 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1952308272 |
|---|---|
| Provider Enumeration Date | 2005-07-01 |
| Last Updated Date | 2020-11-24 |
Provider Mailing Address Detail
| Address | 700 S Park St |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 5371518300 |
| Phone Number | 6082602900 |
| Fax Number | 6082603447 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2328-023 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1952308272 | WI | -- |
Post Comment/ Review Below
Could you please provide the complete physical location address of Paul Kenneth Gavins?
The Paul Kenneth Gavins is physically situated at 700 S Park St, in the city of Madison, state of WI, with the postal code 5371518300.
What is the Paul Kenneth Gavins's specialty and taxonomy code?
The Paul Kenneth Gavins's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952308272 to Paul Kenneth Gavins?
The Paul Kenneth Gavins received its 1952308272 assignment from the Centers for Medicare & Medicaid Services on 2005-07-01.
When was the Paul Kenneth Gavins's information last updated?
The Paul Kenneth Gavins's information was last updated on 2020-11-24.
When was the information pertaining to Paul Kenneth Gavins most recently updated or revised?
The details related to Paul Kenneth Gavins, including its address, specialty, and other relevant information, were last updated or revised on 2020-11-24.
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