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KENDALL POLK CSFA NPI 1285009803


NPI Information

NPI: 1285009803
Provider Name: KENDALL POLK, CSFA
Classification: Specialist/Technologist, Other - 246ZC0007X
Entity Type: Individual

Specialization: Surgical Assistant

Address:
205 CRENSHAW DR
MANSFIELD, TX
ZIP 76063
Phone: (214) 927-6539
Get Directions

Kendall Polk, CSFA is a surgical assistant specialist technologist other in Mansfield, TX. The provider is a surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. Kendall Polk, CSFA NPI is 1285009803. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

205 CRENSHAW DR
MANSFIELD, TX
ZIP 76063-451
Phone: (214) 927-6539
Fax: (817) 394-1231

The enumeration date for this NPI number is 12/8/2015 and was last updated on 6/16/2018.


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
1208600000XSurgerySA00635TEXASNo
2246ZC0007XSpecialist/Technologist, OtherSurgical AssistantSA00635TEXASYes
3246ZX2200XSpecialist/Technologist, OtherOrthopedic AssistantSA00635TEXASNo
4246ZS0410XSpecialist/Technologist, OtherSurgical TechnologistSA00635TEXASNo

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 Other Provider Identifier Issuer
11225495708OTHERNPI

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: 5/5/2024

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