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Kimberly A Mizack, PA
Physician Assistant in Salem, Virginia
NPI 1639251762

Kimberly A Mizack is a Physician Assistant based in Salem, VA. Kimberly A Mizack practices in Salem, VA and has the professional credentials of PA. The NPI Number for Kimberly A Mizack is 1639251762 and holds a License No. 0110002410 (Virginia).

The current practice location address for Kimberly A Mizack is 1802 Braeburn Dr, Salem, VA and can be reached out via phone at 540-772-3530 and via fax at 540-776-2036.

Location: 1802 Braeburn Dr, Salem, VA, 24153-7357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639251762
Provider Name
Kimberly A Mizack
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1802 Braeburn Dr, Salem, VA, 24153-7357
Phone Number
540-772-3530
Fax Number
540-776-2036
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1639251762 01 VA BLACK LUNG
1639251762 01 VA INTOTAL
540506332108 01 VA TRICARE
1639251762 01 VA OPTIMA HEALTH PLAN
1639251762 01 VA MEDICAID QMB
P01535314 01 VA RAILROAD MEDICARE
1639251761 01 VA AETNA
1639251762 01 VA SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
1639251762 01 VA HUMANA MEDICARE
P00803340 01 VA RAILROAD MEDICARE
1639251762 01 VA ANTHEM MEDIGAP
1639251762 01 VA UMWA
institution
Provider Business Practice Location Address Details
Address
1802 Braeburn Dr
City
Salem
State
Virginia
Zip
24153-7357
Phone Number
540-772-3530
Fax Number
540-776-2036
person
Provider Business Mailing Address Details
Address
1802 Braeburn Dr
City
Salem
State
Virginia
Zip
24153-7357
Phone Number
540-772-3530
Fax Number
540-776-2036
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
0110002410 (Virginia)
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 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.
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