Kelly Wilson in Savage - Forensic

Kelly Wilson - NPI 1407023591

Kelly Wilson is a Forensic in Savage, Minnesota. Kelly Wilson practices all healthcare services and medical treatments related to Forensic. The NPI Number for Kelly Wilson is 1407023591. The last update date is 2008-05-08.

Kelly Wilson's current location address is 13875 Highway 13 S, Savage, Minnesota. You can contact this provider via phone number 6122373700 and fax number 9522267790. The mailing address for Kelly Wilson is 13875 Highway 13 S, Savage, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Wilson
Address 13875 Highway 13 S, Savage, Minnesota
Phone Number 6122373700
Fax Number 9522267790
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1407023591
Provider Enumeration Date 2008-05-08
Last Updated Date 2008-05-08

Provider Mailing Address Detail

Address 13875 Highway 13 S
City Savage
State Minnesota (MN)
Post Code 553782136
Phone Number 6122373700
Fax Number 9522267790

Provider's Primary Taxonomy Detail

Speciality Forensic
Taxonomy 103Tf0200X
Licence No LP4438
Definition:
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

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FAQs about Kelly Wilson

What is the unique 10-digit identifier code issued to Kelly Wilson by the Centers for Medicare & Medicaid Services?

The Kelly Wilson has been assigned the NPI (National Provider Identifier) 1407023591 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Kelly Wilson is geographically located?

The Kelly Wilson is physically situated at the following location: 13875 Highway 13 S, Savage, MN, 553782136.

What is Kelly Wilson's area of expertise and its corresponding taxonomy classification?

The Kelly Wilson's field of specialization is Forensic, and it falls under the taxonomy code 103Tf0200X, which categorizes healthcare providers based on their areas of practice.

On what date did Kelly Wilson receive its 1407023591 assignment from the Centers for Medicare & Medicaid Services?

The Kelly Wilson was assigned its 1407023591 on 2008-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

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

The information related to Kelly Wilson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-08.

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