Devora Kingery , CNA
Physician Assistant • Poplar Bluff, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Devora Kingery has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Devora Kingery, CNA was a registered Physician Assistant practicing in Poplar Bluff, MO. Throughout an active medical career spanning 10 years, Devora Kingery provided care at the practice location at 3001 WARRIOR LN until profile deactivation on 2017-08-03.
Practice Location & Contact Primary Location
3001 Warrior Ln
Poplar Bluff, MO 639018685
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Poplar Bluff, MO
Practicing in Poplar Bluff, MO (1802 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Community Health Worker
Case Manager/Care Coordinator
Behavior Technician
Community Health Worker
Behavior Technician
Case Manager/Care Coordinator
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 03, 2017
NPI status registered as active in NPPES database
Registered at 3001 WARRIOR LN, POPLAR BLUFF, MO 639018685 (Tel: 5736861200)
Registered at PO BOX 280, POPLAR BLUFF, MO 639020280 (Tel: 5736861200)
Recorded as DEVORA KINGERY, CNA
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 280
Poplar Bluff, MO 639020280
Phone: 5736861200
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