MELISSA S KENT PA-C NPI 1699737676

NPI Information

NPI: 1699737676
Provider Name: MELISSA S KENT, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
3750 CONVOY ST STE 301
SAN DIEGO, CA
ZIP 92111
Phone: (619) 297-4481
Get Directions

Melissa S Kent, PA-C is a surgical physician assistant in San Diego, CA. Melissa S Kent, PA-C NPI is 1699737676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3750 CONVOY ST STE 301
SAN DIEGO, CA
ZIP 92111-741
Phone: (619) 297-4481
Fax: (619) 291-5536

The NPI 1699737676 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 12/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		1615	COLORADO	No
2	363A00000X	Physician Assistant		53433	CALIFORNIA	No
3	363AS0400X	Physician Assistant	Surgical	PA53433	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1699737676	MEDICAID	WYOMING
2	200974500A	MEDICAID	KANSAS
3	82587841	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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