Individual provider · Type 1 NPI

Clark Rafael Hernandez, PAC

Physician Assistant · Kingsport, TN

NPI number 1306941372 Active

Practice location

Three Sheridan Square
Kingsport, TN 37660

Call (423) 392-6840 Map

Fax (423) 392-6845

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA0000000871 (TN)

Physician Assistant: 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, orde…

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About NPI 1306941372

Clark Rafael Hernandez, PAC's National Provider Identifier is 1306941372, issued on Sep 14, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kingsport, TN. The record was last updated on Jul 8, 2007.