Active NPIIndividual providerSole proprietor

Kentston Bauman, PA-C

Student in an Organized Health Care Education/Training Program in South Hadley, Massachusetts

NPI Number1659006450
Practice location
103 Woodbridge St, South Hadley, MA 01075-1128
Fax
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Last updated
July 18, 2022

Kentston Bauman is a Student in an Organized Health Care Education/Training Program based in South Hadley, MA. Kentston Bauman practices in South Hadley, MA and has the professional credentials of PA-C. The NPI Number for Kentston Bauman is 1659006450. The current practice location address for Kentston Bauman is 103 Woodbridge St, South Hadley, MA 01075-1128 and can be reached out via phone at 734-883-3203.

Provider Profile Details

NPI Number
1659006450
Provider Name
Kentston Bauman
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
103 Woodbridge St, South Hadley, MA 01075-1128
Phone Number
734-883-3203
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2022
Last Update Date
July 18, 2022
Certification Date
July 1, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Woodbridge St
South Hadley, MA 01075-1128
Zip
01075-1128
Phone Number
734-883-3203
South Hadley, MA 01075Get directions →

Provider Business Mailing Address Details

Address
103 Woodbridge St
South Hadley, MA 01075-1128
City
South Hadley
State
MA
Zip
01075-1128
Phone Number
734-883-3203

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kentston Bauman, PA-C?

The NPI number of Kentston Bauman, PA-C is 1659006450. It was assigned on July 18, 2022 and is currently active in the NPPES registry.

What is the specialty of Kentston Bauman, PA-C?

Kentston Bauman, PA-C is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Kentston Bauman, PA-C practice?

The practice location is 103 Woodbridge St, South Hadley, MA 01075-1128. The office can be reached at 734-883-3203 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659006450 directly on the NPPES registry website.

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