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KIMBERLY J. SARGENT PA-C PLLC NPI 1962857383


NPI Information

NPI: 1962857383
Provider Name: KIMBERLY J. SARGENT PA-C, PLLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
711 W ASPEN AVE
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 856-2208
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KIMBERLY J. SARGENT PA-C, PLLC is a surgical physician assistant in Flagstaff, AZ. KIMBERLY J. SARGENT PA-C, PLLC NPI is 1962857383. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

711 W ASPEN AVE
FLAGSTAFF, AZ
ZIP 86001-301
Phone: (928) 856-2208

The provider's authorized official is Kimberly Jo Sargent .
The authorized official title is Owner and has the following contact phone number (928) 856-2208.

The enumeration date for this NPI number is 5/4/2016 and was last updated on 5/4/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical#2555ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P588000512MEDICARE UPINARIZONA
2434649MEDICARE PIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.