Kelly Lane Blair in Jackson - Rehabilitation

Kelly Lane Blair - NPI 1891711131

Kelly Lane Blair is a Rehabilitation in Jackson, Tennessee. Kelly Lane Blair practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Kelly Lane Blair is 1891711131. The last update date is 2009-07-31.

Kelly Lane Blair's current location address is 1804 Highway 45 Byp, Jackson, Tennessee. You can contact this provider via phone number 7316608759. The mailing address for Kelly Lane Blair is 1804 Highway 45 Byp, Jackson, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Lane Blair
Address 1804 Highway 45 Byp, Jackson, Tennessee
Phone Number 7316608759
Fax Number
Sole Proprietor N
Credentials PH.D

NPI Number Detail

NPI Number 1891711131
Provider Enumeration Date 2006-07-13
Last Updated Date 2009-07-31

Provider Mailing Address Detail

Address 1804 Highway 45 Byp
City Jackson
State Tennessee (TN)
Post Code 383054436
Phone Number 7316608759
Fax Number

Provider's Primary Taxonomy Detail

Speciality Rehabilitation
Taxonomy 103Tr0400X
Licence No 1706
Definition:
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and fu

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FAQs about Kelly Lane Blair

What is the Kelly Lane Blair's 1891711131?

The Kelly Lane Blair's NPI (National Provider Identifier) Number is 1891711131. 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 Kelly Lane Blair's facilities are situated?

The facilities of Kelly Lane Blair are physically located at the following address: 1804 Highway 45 Byp, Jackson, TN, 383054436.

What is Kelly Lane Blair's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kelly Lane Blair is Rehabilitation, and the taxonomy classification code that categorizes this area of expertise is 103Tr0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1891711131 to Kelly Lane Blair?

The Kelly Lane Blair received its 1891711131 assignment from the Centers for Medicare & Medicaid Services on 2006-07-13.

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

The information pertaining to Kelly Lane Blair, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-07-31.

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