Keely Nicole Mixon in Pensacola - Physician Assistant
Keely Nicole Mixon - NPI 1710181714
Keely Nicole Mixon is a Physician Assistant in Pensacola, Florida. Keely Nicole Mixon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Keely Nicole Mixon is 1710181714. The last update date is 2019-12-16.
Keely Nicole Mixon's current location address is Po Box 2699, Pensacola, Florida. You can contact this provider via phone number 8504167619. The mailing address for Keely Nicole Mixon is Po Box 2699, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keely Nicole Mixon |
|---|---|
| Address | Po Box 2699, Pensacola, Florida |
| Phone Number | 8504167619 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1710181714 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2019-12-16 |
Provider Mailing Address Detail
| Address | Po Box 2699 |
|---|---|
| City | Pensacola |
| State | Florida (FL) |
| Post Code | 325132699 |
| Phone Number | 8504167619 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9110923 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1380709 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Keely Nicole Mixon?
The Keely Nicole Mixon has been issued the NPI (National Provider Identifier) 1710181714 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Keely Nicole Mixon?
The Keely Nicole Mixon is physically situated at Po Box 2699, in the city of Pensacola, state of FL, with the postal code 325132699.
What is Keely Nicole Mixon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keely Nicole Mixon is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710181714 to Keely Nicole Mixon?
The Centers for Medicare & Medicaid Services originally issued the 1710181714 to Keely Nicole Mixon on 2007-06-13.
As of what date was the information pertaining to Keely Nicole Mixon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Keely Nicole Mixon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-12-16.
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