Kevin K Carlisle is a Surgical in Tampa, Florida. Kevin K Carlisle practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kevin K Carlisle is 1669467833. The last update date is 2013-10-29.
Kevin K Carlisle's current location address is Po Box 21686, Tampa, Florida. You can contact this provider via phone number 8133435500 and fax number 8664627445. The mailing address for Kevin K Carlisle is Po Box 21686, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin K Carlisle |
|---|---|
| Address | Po Box 21686, Tampa, Florida |
| Phone Number | 8133435500 |
| Fax Number | 8664627445 |
| Sole Proprietor | Y |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1669467833 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2013-10-29 |
Provider Mailing Address Detail
| Address | Po Box 21686 |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336221686 |
| Phone Number | 8133435500 |
| Fax Number | 8664627445 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA1682 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 650420578 | FL | CHAMPUS/TRICARE | |
| X1592 | FL | BLUE CROSS BLUE SHIELD | |
| 290188900 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kevin K Carlisle by the Centers for Medicare & Medicaid Services?
The Kevin K Carlisle has been issued the NPI (National Provider Identifier) 1669467833. This 10-digit code 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 Kevin K Carlisle?
The Kevin K Carlisle is situated at Po Box 21686, in the city of Tampa, state of FL, with the zip code 336221686.
What is the area of specialization for Kevin K Carlisle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin K Carlisle is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669467833 to Kevin K Carlisle?
The Kevin K Carlisle received its 1669467833 assignment from the Centers for Medicare & Medicaid Services on 2005-09-14.
As of what date were the details related to Kevin K Carlisle most recently updated or revised?
The information pertaining to Kevin K Carlisle, including its address, specialty, and other relevant details, was last updated or revised on 2013-10-29.