Betty J Kelly in Pueblo - Addiction (substance Use Disorder)

Betty J Kelly - NPI 1245437482

Betty J Kelly is a Addiction (substance Use Disorder) in Pueblo, Colorado. Betty J Kelly practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Betty J Kelly is 1245437482. The last update date is 2007-07-08.

Betty J Kelly's current location address is 1711 E Evans Ave, Pueblo, Colorado. You can contact this provider via phone number 7195619850 and fax number 7195647212. The mailing address for Betty J Kelly is 1711 E Evans Ave, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Betty J Kelly
Address 1711 E Evans Ave, Pueblo, Colorado
Phone Number 7195619850
Fax Number 7195647212
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1245437482
Provider Enumeration Date 2007-06-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1711 E Evans Ave
City Pueblo
State Colorado (CO)
Post Code 810043349
Phone Number 7195619850
Fax Number 7195647212

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 4464
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Betty J Kelly

What is the unique 10-digit identification code issued to Betty J Kelly by the Centers for Medicare & Medicaid Services?

The Betty J Kelly has been assigned the NPI (National Provider Identifier) 1245437482 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Betty J Kelly located?

The Betty J Kelly is located at 1711 E Evans Ave, Pueblo, CO 810043349.

What is Betty J Kelly's specialized field of practice, and what is the corresponding taxonomy classification code?

The Betty J Kelly's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1245437482 to Betty J Kelly?

The Centers for Medicare & Medicaid Services assigned the 1245437482 to Betty J Kelly on 2007-06-29.

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

The information related to Betty J Kelly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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