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Mr. Kenneth R Dodge, RPAC
Medical Physician Assistant in East Hampton, New York
NPI 1952366601

Kenneth R Dodge is a Medical Physician Assistant based in Southampton, NY and is specialized in Medical. Kenneth R Dodge practices in East Hampton, NY and has the professional credentials of RPAC. The NPI Number for Kenneth R Dodge is 1952366601 and holds a License No. 0001001 (New York).

The current practice location address for Kenneth R Dodge is 200 Pantiago Place, East Hampton, NY and can be reached out via phone at 631-324-7700 and via fax at 631-324-7701.

Location: 200 Pantiago Place, East Hampton, NY, 11969-2340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952366601
Provider Name
Kenneth R Dodge
Credential
RPAC
Provider Entity Type
Individual
Gender
Male
Address
200 Pantiago Place, East Hampton, NY, 11969-2340
Phone Number
631-324-7700
Fax Number
631-324-7701
Provider Enumeration Date
04/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01271329 05 NY
institution
Provider Business Practice Location Address Details
Address
200 Pantiago Place
City
East Hampton
State
New York
Zip
11937
Phone Number
631-324-7700
Fax Number
631-324-7701
person
Provider Business Mailing Address Details
Address
200 Pantiago Place
City
East Hampton
State
New York
Zip
11937
Phone Number
631-324-7700
Fax Number
631-324-7701
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
0001001 (New York)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0001001 (New York)
Definition
Definition to come...
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