Kelli D Shaw in Ruidoso - Addiction (substance Use Disorder)
Kelli D Shaw - NPI 1487714382
Kelli D Shaw is a Addiction (substance Use Disorder) in Ruidoso, New Mexico. Kelli D Shaw practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kelli D Shaw is 1487714382. The last update date is 2007-07-08.
Kelli D Shaw's current location address is 1400 Sudderth Dr, Ruidoso, New Mexico. You can contact this provider via phone number 5052584859 and fax number 5052583320. The mailing address for Kelli D Shaw is 1400 Sudderth Dr, Ruidoso, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli D Shaw |
|---|---|
| Address | 1400 Sudderth Dr, Ruidoso, New Mexico |
| Phone Number | 5052584859 |
| Fax Number | 5052583320 |
| Sole Proprietor | N |
| Credentials | LADAC |
NPI Number Detail
| NPI Number | 1487714382 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1400 Sudderth Dr |
|---|---|
| City | Ruidoso |
| State | New Mexico (NM) |
| Post Code | 883456103 |
| Phone Number | 5052584859 |
| Fax Number | 5052583320 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 3439 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelli D Shaw by the Centers for Medicare & Medicaid Services?
The Kelli D Shaw has been assigned the NPI (National Provider Identifier) 1487714382 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Kelli D Shaw is located?
The Kelli D Shaw is situated at the following address: 1400 Sudderth Dr, Ruidoso, NM, 883456103.
What is Kelli D Shaw's area of expertise and its corresponding taxonomy classification?
The Kelli D Shaw's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kelli D Shaw receive the assignment of its 1487714382 from the Centers for Medicare & Medicaid Services?
The Kelli D Shaw was issued its 1487714382 by the Centers for Medicare & Medicaid Services on 2006-12-11.
When was the information regarding Kelli D Shaw most recently updated?
The details pertaining to the Kelli D Shaw, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA