Michael Arthur Kennedy in Pottsboro - Medical
Michael Arthur Kennedy - NPI 1245391473
Michael Arthur Kennedy is a Medical in Pottsboro, Texas. Michael Arthur Kennedy practices all healthcare services and medical treatments related to Medical. The NPI Number for Michael Arthur Kennedy is 1245391473. The last update date is 2009-02-19.
Michael Arthur Kennedy's current location address is 1038 Addison Ave, Pottsboro, Texas. You can contact this provider via phone number 9037868916. The mailing address for Michael Arthur Kennedy is 1038 Addison Ave, Pottsboro, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Arthur Kennedy |
|---|---|
| Address | 1038 Addison Ave, Pottsboro, Texas |
| Phone Number | 9037868916 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1245391473 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2009-02-19 |
Provider Mailing Address Detail
| Address | 1038 Addison Ave |
|---|---|
| City | Pottsboro |
| State | Texas (TX) |
| Post Code | 750767077 |
| Phone Number | 9037868916 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA04828 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Arthur Kennedy by the Centers for Medicare & Medicaid Services?
The Michael Arthur Kennedy has been issued the NPI (National Provider Identifier) 1245391473, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael Arthur Kennedy?
The Michael Arthur Kennedy is situated at 1038 Addison Ave, in the city of Pottsboro, state of TX, with the zip code 750767077.
What is the Michael Arthur Kennedy's specialty and taxonomy code?
The Michael Arthur Kennedy's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245391473 to Michael Arthur Kennedy?
The Centers for Medicare & Medicaid Services originally issued the 1245391473 to Michael Arthur Kennedy on 2006-12-12.
As of what date was the information regarding Michael Arthur Kennedy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Arthur Kennedy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-02-19.