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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CLARK RAFAEL HERNANDEZ, PAC

Active

MR. CLARK RAFAEL HERNANDEZ, PAC is a Physician Assistant healthcare provider located in KINGSPORT, Tennessee. NPI 1306941372 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · KINGSPORT, TN

Registration Details

NPI Number
1306941372
Provider Type
Individual
Gender
Male
NPI Issued
Sep 14, 2006 (19.872707112167 yrs)
Last Updated
Jul 8, 2007
License
PA0000000871 (TN)

Practice Information

Address
THREE SHERIDAN SQUARE
KINGSPORT, TN, 37660
Browse TN providers · Browse ZIP 37660
Phone
4233926840
Fax
4233926845
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in KINGSPORT, TN

Name Credential NPI
MRS. JENNIFER C COMPTON P.A. 1467457341
MR. PAUL DIERS PA-C 1124060140
MRS. MAUREEN A KNECHTEL PA 1821021932
SANDRA MCCRARY PA 1699700922
ANNETTE SKIDMORE PA 1225063480
TERRY K. CARLE P.A. 1851310353
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.