Clinton Kershaw, PA-C is a
Physician Assistant based in Fowler, California. Clinton Kershaw is licensed to practice in California (license number PA65715) and his current practice location is
210 E Merced St, Fowler, California. He can be reached at his office (for appointments etc.) via phone at
(559) 834-5341.
NPI number for Clinton Kershaw is 1467257972 and his current mailing address is Po Box 580, Lemoore, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467257972.
Provider's Profile
| Full Name | Clinton Kershaw |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 210 E Merced St, Fowler, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467257972
- Provider Enumeration Date: 02/18/2025
- Last Update Date: 02/18/2025
Medical Identifiers
Medical identifiers for Clinton Kershaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467257972 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA65715 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clinton Kershaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Clinton Kershaw, PA-C
Po Box 580,
Lemoore, CA 93245-0580
Ph: () - | Clinton Kershaw, PA-C
210 E Merced St,
Fowler, CA 93625-2313
Ph: (559) 834-5341 |
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