Kerry Nathan is a Physician Assistant in Warren, Michigan. Kerry Nathan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kerry Nathan is 1003882242. The last update date is 2007-07-08.
Kerry Nathan's current location address is 31150 Hoover, Warren, Michigan. You can contact this provider via phone number 5869833666 and fax number 5869833776. The mailing address for Kerry Nathan is 31150 Hoover, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Nathan |
|---|---|
| Address | 31150 Hoover, Warren, Michigan |
| Phone Number | 5869833666 |
| Fax Number | 5869833776 |
| Sole Proprietor | X |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1003882242 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 31150 Hoover |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 48093 |
| Phone Number | 5869833666 |
| Fax Number | 5869833776 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601002908 |
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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 Kerry Nathan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kerry Nathan's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
What is Kerry Nathan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kerry Nathan is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Kerry Nathan receive its 1003882242 assignment from the Centers for Medicare & Medicaid Services?
The Kerry Nathan was assigned its 1003882242 on 2006-02-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1003882242 to Kerry Nathan?
The Centers for Medicare & Medicaid Services assigned the 1003882242 to Kerry Nathan on 2006-02-27.
As of what date was the information regarding Kerry Nathan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kerry Nathan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.