Kenneth Henry Hyatt in Challis - Medical

Kenneth Henry Hyatt - NPI 1144312513

Kenneth Henry Hyatt is a Medical in Challis, Idaho. Kenneth Henry Hyatt practices all healthcare services and medical treatments related to Medical. The NPI Number for Kenneth Henry Hyatt is 1144312513. The last update date is 2007-07-08.

Kenneth Henry Hyatt's current location address is 4737 Garden Creek Road, Challis, Idaho. You can contact this provider via phone number 2088794351 and fax number 2088795216. The mailing address for Kenneth Henry Hyatt is 4737 Garden Creek Road, Challis, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Henry Hyatt
Address 4737 Garden Creek Road, Challis, Idaho
Phone Number 2088794351
Fax Number 2088795216
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1144312513
Provider Enumeration Date 2006-09-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4737 Garden Creek Road
City Challis
State Idaho (ID)
Post Code 83226
Phone Number 2088794351
Fax Number 2088795216

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA-535
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Kenneth Henry Hyatt

What is the Kenneth Henry Hyatt's unique identification number?

The Kenneth Henry Hyatt has been assigned the NPI (National Provider Identifier) Number 1144312513 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 Kenneth Henry Hyatt is physically located?

The Kenneth Henry Hyatt is physically situated at the following address: 4737 Garden Creek Road, Challis, ID, 83226.

What is the Kenneth Henry Hyatt's area of specialization and corresponding taxonomy classification?

The Kenneth Henry Hyatt's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1144312513 to Kenneth Henry Hyatt?

The Kenneth Henry Hyatt received its 1144312513 assignment from the Centers for Medicare & Medicaid Services on 2006-09-29.

When was the information regarding Kenneth Henry Hyatt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kenneth Henry Hyatt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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