Kevin Jacob Barnwell, PA
Physician Assistant in Tracy, CA. Individual provider (NPI-1).
NPI number1740804665
StatusActive
Last updated in NPPESOct 21, 2022
Details
- NPI
- 1740804665
- Entity type
- Individual (NPI-1)
- Name
- Kevin Jacob Barnwell
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2020
- Certification date
- Oct 21, 2022
- Last updated
- Oct 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 58643 | CA | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
1420 N Tracy BlvdTracy, CA 95376-3451
Phone 209-832-6018
Mailing address
9750 Old Placerville Rd Apt 168Sacramento, CA 95827-3356
Phone 480-332-4775
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All 16 Physician Assistant providers in Tracy · All 2,265 providers in Tracy
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