Patrick Kelly Smith in Lynnwood - Physician Assistant
Patrick Kelly Smith - NPI 1124016951
Patrick Kelly Smith is a Physician Assistant in Lynnwood, Washington. Patrick Kelly Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Patrick Kelly Smith is 1124016951. The last update date is 2021-05-05.
Patrick Kelly Smith's current location address is 20200 54th Ave W, Lynnwood, Washington. You can contact this provider via phone number 4256726400. The mailing address for Patrick Kelly Smith is 20200 54th Ave W, Lynnwood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrick Kelly Smith |
|---|---|
| Address | 20200 54th Ave W, Lynnwood, Washington |
| Phone Number | 4256726400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1124016951 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2021-05-05 |
Provider Mailing Address Detail
| Address | 20200 54th Ave W |
|---|---|
| City | Lynnwood |
| State | Washington (WA) |
| Post Code | 980366318 |
| Phone Number | 4256726400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004116 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 142901 | GREAT LAKES HEALTH PLAN | ||
| 381908328 | TRICARE | ||
| 201 | MI | COMMUNITY CHOICE OF MI | |
| 3381330 | MI | MOLINA HEALTH CARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Patrick Kelly Smith by the Centers for Medicare & Medicaid Services?
The Patrick Kelly Smith has been issued the NPI (National Provider Identifier) 1124016951, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Patrick Kelly Smith's facilities are geographically located?
The facilities of Patrick Kelly Smith are physically situated at the following location: 20200 54Th Ave W, Lynnwood, WA, 980366318.
What is Patrick Kelly Smith's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Patrick Kelly Smith's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did the Patrick Kelly Smith receive its 1124016951?
The Patrick Kelly Smith was issued its 1124016951 on 2005-10-06, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Patrick Kelly Smith most recently updated or revised?
The details related to Patrick Kelly Smith, including its address, specialty, and other relevant information, were last updated or revised on 2021-05-05.