Kendell Pellham in West Plains - Professional

Kendell Pellham - NPI 1104011048

Kendell Pellham is a Professional in West Plains, Missouri. Kendell Pellham practices all healthcare services and medical treatments related to Professional. The NPI Number for Kendell Pellham is 1104011048. The last update date is 2007-09-13.

Kendell Pellham's current location address is 1015 Lanton Rd, West Plains, Missouri. You can contact this provider via phone number 4172562570. The mailing address for Kendell Pellham is 1015 Lanton Rd, West Plains, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kendell Pellham
Address 1015 Lanton Rd, West Plains, Missouri
Phone Number 4172562570
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1104011048
Provider Enumeration Date 2007-09-13
Last Updated Date 2007-09-13

Provider Mailing Address Detail

Address 1015 Lanton Rd
City West Plains
State Missouri (MO)
Post Code 657753854
Phone Number 4172562570
Fax Number

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

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FAQs about Kendell Pellham

What is the unique 10-digit identification code assigned to Kendell Pellham by the Centers for Medicare & Medicaid Services?

The Kendell Pellham has been issued the NPI (National Provider Identifier) 1104011048, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kendell Pellham's physical address?

The Kendell Pellham is physically located at 1015 Lanton Rd, in the city of West Plains, MO, with the postal code 657753854.

What is Kendell Pellham's area of expertise and its corresponding taxonomy classification?

The Kendell Pellham's field of specialization is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their areas of practice.

On what date did the Kendell Pellham receive its 1104011048 assignment from the Centers for Medicare & Medicaid Services?

The Kendell Pellham was assigned its 1104011048 by the Centers for Medicare & Medicaid Services on 2007-09-13.

As of what date was the information pertaining to Kendell Pellham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kendell Pellham, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-13.

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