Tracy Leeann Keniston in Yakima - Surgical
Tracy Leeann Keniston - NPI 1457549545
Tracy Leeann Keniston is a Surgical in Yakima, Washington. Tracy Leeann Keniston practices all healthcare services and medical treatments related to Surgical. The NPI Number for Tracy Leeann Keniston is 1457549545. The last update date is 2023-01-26.
Tracy Leeann Keniston's current location address is Po Box 2309, Yakima, Washington. You can contact this provider via phone number 5094548888 and fax number 5094530061. The mailing address for Tracy Leeann Keniston is Po Box 2309, Yakima, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Leeann Keniston |
|---|---|
| Address | Po Box 2309, Yakima, Washington |
| Phone Number | 5094548888 |
| Fax Number | 5094530061 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1457549545 |
|---|---|
| Provider Enumeration Date | 2007-10-15 |
| Last Updated Date | 2023-01-26 |
Provider Mailing Address Detail
| Address | Po Box 2309 |
|---|---|
| City | Yakima |
| State | Washington (WA) |
| Post Code | 989072309 |
| Phone Number | 5094548888 |
| Fax Number | 5094530061 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA10005307 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA10005307 | WA | WA PA LICENSE | |
| 1057024 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tracy Leeann Keniston by the Centers for Medicare & Medicaid Services?
The Tracy Leeann Keniston has been issued the NPI (National Provider Identifier) 1457549545 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Tracy Leeann Keniston's physical address?
The Tracy Leeann Keniston is physically located at Po Box 2309, in the city of Yakima, WA, with the postal code 989072309.
What is Tracy Leeann Keniston's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tracy Leeann Keniston is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.
On what date was the 1457549545 assigned to Tracy Leeann Keniston?
The Tracy Leeann Keniston was issued its 1457549545 on 2007-10-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Tracy Leeann Keniston's information last updated?
The Tracy Leeann Keniston's information was last updated on 2023-01-26.