Keith A Jeffrey in Fremont - Physician Assistant
Keith A Jeffrey - NPI 1164461745
Keith A Jeffrey is a Physician Assistant in Fremont, California. Keith A Jeffrey practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Keith A Jeffrey is 1164461745. The last update date is 2022-01-04.
Keith A Jeffrey's current location address is 2000 Mowry Ave, Fremont, California. You can contact this provider via phone number 5108187200 and fax number 5107429334. The mailing address for Keith A Jeffrey is 2000 Mowry Ave, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith A Jeffrey |
|---|---|
| Address | 2000 Mowry Ave, Fremont, California |
| Phone Number | 5108187200 |
| Fax Number | 5107429334 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1164461745 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2022-01-04 |
Provider Mailing Address Detail
| Address | 2000 Mowry Ave |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945381716 |
| Phone Number | 5108187200 |
| Fax Number | 5107429334 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA16317 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Keith A Jeffrey by the Centers for Medicare & Medicaid Services?
The Keith A Jeffrey has been assigned the NPI (National Provider Identifier) 1164461745. 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 A Jeffrey's physical address?
The Keith A Jeffrey is physically located at 2000 Mowry Ave, in the city of Fremont, CA, with the postal code 945381716.
What is the area of specialization for Keith A Jeffrey, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Keith A Jeffrey is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did the Keith A Jeffrey receive its 1164461745?
The Keith A Jeffrey was issued its 1164461745 on 2006-06-06, which is the date when the organization was assigned this unique identifier.
As of what date were the Keith A Jeffrey's details last updated?
The information pertaining to the Keith A Jeffrey, including its address, specialty, and other details, was most recently updated on 2022-01-04.
NPI Number: 1336142389
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