John M Kelroy in Bloomington - Clinical

John M Kelroy - NPI 1659344919

John M Kelroy is a Clinical in Bloomington, Minnesota. John M Kelroy practices all healthcare services and medical treatments related to Clinical. The NPI Number for John M Kelroy is 1659344919. The last update date is 2007-07-08.

John M Kelroy's current location address is 8100 34th Ave S, Bloomington, Minnesota. You can contact this provider via phone number 9528837961 and fax number 9528835395. The mailing address for John M Kelroy is 8100 34th Ave S, Bloomington, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name John M Kelroy
Address 8100 34th Ave S, Bloomington, Minnesota
Phone Number 9528837961
Fax Number 9528835395
Sole Proprietor X
Credentials MA LP

NPI Number Detail

NPI Number 1659344919
Provider Enumeration Date 2006-02-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8100 34th Ave S
City Bloomington
State Minnesota (MN)
Post Code 554251672
Phone Number 9528837961
Fax Number 9528835395

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 2870
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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FAQs about John M Kelroy

What is the John M Kelroy's 1659344919?

The John M Kelroy's NPI (National Provider Identifier) Number is 1659344919. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the John M Kelroy's physical address?

The John M Kelroy is physically located at 8100 34Th Ave S, in the city of Bloomington, MN, with the postal code 554251672.

What is the John M Kelroy's specialty and taxonomy code?

The John M Kelroy's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1659344919 to John M Kelroy?

The John M Kelroy received its 1659344919 assignment from the Centers for Medicare & Medicaid Services on 2006-02-08.

As of what date was the information regarding John M Kelroy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John M Kelroy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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