SHANNON KLUTTZ PA-C NPI 1922481118

NPI Information

NPI: 1922481118
Provider Name: SHANNON KLUTTZ, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3000 COLISEUM DR
SENTARA CAREPLEX HOSPITAL EMERGENCY DEPARTMENT
HAMPTON, VA
ZIP 23666
Phone: (757) 599-4922
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Shannon Kluttz, PA-C is a medical physician assistant in Hampton, VA. Shannon Kluttz, PA-C NPI is 1922481118. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3000 COLISEUM DR
SENTARA CAREPLEX HOSPITAL EMERGENCY DEPARTMENT
HAMPTON, VA
ZIP 23666-963
Phone: (757) 599-4922

The NPI 1922481118 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2015 and was last updated on 7/7/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0110005010	VIRGINIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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