MR. CLARK RAFAEL HERNANDEZ PAC NPI 1306941372

NPI Information

MR. Clark Rafael Hernandez, PAC is a physician assistant in Kingsport, TN. The provider is 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Clark Rafael Hernandez, PAC NPI is 1306941372. 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:

THREE SHERIDAN SQUARE
KINGSPORT, TN
ZIP 37660
Phone: (423) 392-6840
Fax: (423) 392-6845

The enumeration date for this NPI number is 9/14/2006 and was last updated on 7/8/2007.

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:

Other Identifiers

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

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