Kenneth R Dodge is a Medical in East Hampton, New York. Kenneth R Dodge practices all healthcare services and medical treatments related to Medical. The NPI Number for Kenneth R Dodge is 1952366601. The last update date is 2008-04-12.
Kenneth R Dodge's current location address is 200 Pantiago Place, East Hampton, New York. You can contact this provider via phone number 6313247700 and fax number 6313247701. The mailing address for Kenneth R Dodge is 200 Pantiago Place, East Hampton, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth R Dodge |
|---|---|
| Address | 200 Pantiago Place, East Hampton, New York |
| Phone Number | 6313247700 |
| Fax Number | 6313247701 |
| Sole Proprietor | N |
| Credentials | RPAC |
NPI Number Detail
| NPI Number | 1952366601 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2008-04-12 |
Provider Mailing Address Detail
| Address | 200 Pantiago Place |
|---|---|
| City | East Hampton |
| State | New York (NY) |
| Post Code | 11937 |
| Phone Number | 6313247700 |
| Fax Number | 6313247701 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1001 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1271329 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kenneth R Dodge by the Centers for Medicare & Medicaid Services?
The Kenneth R Dodge has been issued the NPI (National Provider Identifier) 1952366601 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kenneth R Dodge's facilities are geographically located?
The facilities of Kenneth R Dodge are physically situated at the following location: 200 Pantiago Place, East Hampton, NY, 11937.
What is Kenneth R Dodge's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth R Dodge's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date was the 1952366601 assigned to Kenneth R Dodge?
The Kenneth R Dodge was issued its 1952366601 on 2006-04-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kenneth R Dodge's details last updated?
The information pertaining to the Kenneth R Dodge, including its address, specialty, and other details, was most recently updated on 2008-04-12.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA