Thomas E. Kelly in Maplewood - Professional

Thomas E. Kelly - NPI 1972607562

Thomas E. Kelly is a Professional in Maplewood, Minnesota. Thomas E. Kelly practices all healthcare services and medical treatments related to Professional. The NPI Number for Thomas E. Kelly is 1972607562. The last update date is 2018-03-17.

Thomas E. Kelly's current location address is 2399 Ariel St N, Maplewood, Minnesota. You can contact this provider via phone number 6517701311 and fax number 6517701879. The mailing address for Thomas E. Kelly is 2399 Ariel St N, Maplewood, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas E. Kelly
Address 2399 Ariel St N, Maplewood, Minnesota
Phone Number 6517701311
Fax Number 6517701879
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1972607562
Provider Enumeration Date 2006-09-12
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 2399 Ariel St N
City Maplewood
State Minnesota (MN)
Post Code 551092203
Phone Number 6517701311
Fax Number 6517701879

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 3386-125
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1972607562 MN --

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FAQs about Thomas E. Kelly

What is the Thomas E. Kelly's 1972607562?

The Thomas E. Kelly's NPI (National Provider Identifier) Number is 1972607562. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Thomas E. Kelly's facilities are situated?

The facilities of Thomas E. Kelly are physically located at the following address: 2399 Ariel St N, Maplewood, MN, 551092203.

What is the Thomas E. Kelly's area of specialization and corresponding taxonomy classification?

The Thomas E. Kelly's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.

On what date did Thomas E. Kelly receive its 1972607562 assignment from the Centers for Medicare & Medicaid Services?

The Thomas E. Kelly was assigned its 1972607562 on 2006-09-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Thomas E. Kelly, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Thomas E. Kelly, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-03-17.

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