Keith Gerrell Plummer in Tishomingo - Medical
Keith Gerrell Plummer - NPI 1932141728
Keith Gerrell Plummer is a Medical in Tishomingo, Oklahoma. Keith Gerrell Plummer practices all healthcare services and medical treatments related to Medical. The NPI Number for Keith Gerrell Plummer is 1932141728. The last update date is 2011-11-03.
Keith Gerrell Plummer's current location address is 610 E 24th St, Tishomingo, Oklahoma. You can contact this provider via phone number 5803712343 and fax number 5803712451. The mailing address for Keith Gerrell Plummer is 610 E 24th St, Tishomingo, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Gerrell Plummer |
|---|---|
| Address | 610 E 24th St, Tishomingo, Oklahoma |
| Phone Number | 5803712343 |
| Fax Number | 5803712451 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1932141728 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2011-11-03 |
Provider Mailing Address Detail
| Address | 610 E 24th St |
|---|---|
| City | Tishomingo |
| State | Oklahoma (OK) |
| Post Code | 734603245 |
| Phone Number | 5803712343 |
| Fax Number | 5803712451 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 794 |
|
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 |
|---|---|---|---|
| 100058030B | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Keith Gerrell Plummer by the Centers for Medicare & Medicaid Services?
The Keith Gerrell Plummer has been assigned the NPI (National Provider Identifier) 1932141728. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Keith Gerrell Plummer's physical address?
The Keith Gerrell Plummer is physically located at 610 E 24Th St, in the city of Tishomingo, OK, with the postal code 734603245.
What is Keith Gerrell Plummer's area of expertise and its corresponding taxonomy classification?
The Keith Gerrell Plummer's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
When did Keith Gerrell Plummer receive its 1932141728 assignment?
The Keith Gerrell Plummer was assigned its 1932141728 on 2006-06-13, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Keith Gerrell Plummer, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keith Gerrell Plummer, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-03.