Kelly Krietsch is a Clinical in Flagstaff, Arizona. Kelly Krietsch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Krietsch is 1497880116. The last update date is 2009-01-21.
Kelly Krietsch's current location address is 1016 W University Ave, Flagstaff, Arizona. You can contact this provider via phone number 9287794286 and fax number 9287741148. The mailing address for Kelly Krietsch is 1016 W University Ave, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Krietsch |
|---|---|
| Address | 1016 W University Ave, Flagstaff, Arizona |
| Phone Number | 9287794286 |
| Fax Number | 9287741148 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1497880116 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2009-01-21 |
Provider Mailing Address Detail
| Address | 1016 W University Ave |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860012994 |
| Phone Number | 9287794286 |
| Fax Number | 9287741148 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1554 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12364601 | AZ | -- | |
| AZ0614590 | AZ | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Kelly Krietsch by the Centers for Medicare & Medicaid Services?
The Kelly Krietsch has been issued the NPI (National Provider Identifier) 1497880116. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kelly Krietsch is geographically located?
The Kelly Krietsch is physically situated at the following location: 1016 W University Ave, Flagstaff, AZ, 860012994.
What is Kelly Krietsch's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Krietsch's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497880116 to Kelly Krietsch?
The Centers for Medicare & Medicaid Services assigned the 1497880116 to Kelly Krietsch on 2007-02-22.
As of what date was the information pertaining to Kelly Krietsch, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly Krietsch, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-01-21.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN