Kevin Stratford in Bridgeport - Physician Assistant
Kevin Stratford - NPI 1063589547
Kevin Stratford is a Physician Assistant in Bridgeport, Connecticut. Kevin Stratford practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kevin Stratford is 1063589547. The last update date is 2012-03-20.
Kevin Stratford's current location address is 267 Grant St, Bridgeport, Connecticut. You can contact this provider via phone number 2033843566. The mailing address for Kevin Stratford is 267 Grant St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Stratford |
|---|---|
| Address | 267 Grant St, Bridgeport, Connecticut |
| Phone Number | 2033843566 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063589547 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2012-03-20 |
Provider Mailing Address Detail
| Address | 267 Grant St |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66102805 |
| Phone Number | 2033843566 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1160 |
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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 10-digit identifier code issued to Kevin Stratford by the Centers for Medicare & Medicaid Services?
The Kevin Stratford has been assigned the NPI (National Provider Identifier) 1063589547 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kevin Stratford's facilities are geographically located?
The facilities of Kevin Stratford are physically situated at the following location: 267 Grant St, Bridgeport, CT, 66102805.
What is Kevin Stratford's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kevin Stratford is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did Kevin Stratford receive its 1063589547 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Stratford was assigned its 1063589547 on 2006-11-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kevin Stratford most recently updated or revised?
The details related to Kevin Stratford, including its address, specialty, and other relevant information, were last updated or revised on 2012-03-20.
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