Kenneth Kelly is a School in Bloomfield, New Mexico. Kenneth Kelly practices all healthcare services and medical treatments related to School. The NPI Number for Kenneth Kelly is 1336364660. The last update date is 2010-08-18.
Kenneth Kelly's current location address is 212 N Valley Blvd, Bloomfield, New Mexico. You can contact this provider via phone number 6029993618. The mailing address for Kenneth Kelly is 212 N Valley Blvd, Bloomfield, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Kelly |
|---|---|
| Address | 212 N Valley Blvd, Bloomfield, New Mexico |
| Phone Number | 6029993618 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1336364660 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2010-08-18 |
Provider Mailing Address Detail
| Address | 212 N Valley Blvd |
|---|---|
| City | Bloomfield |
| State | New Mexico (NM) |
| Post Code | 874135749 |
| Phone Number | 6029993618 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
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Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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What is the Kenneth Kelly's unique identification number?
The Kenneth Kelly has been assigned the NPI (National Provider Identifier) Number 1336364660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Kenneth Kelly?
The Kenneth Kelly is situated at 212 N Valley Blvd, in the city of Bloomfield, state of NM, with the zip code 874135749.
What is Kenneth Kelly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth Kelly is School, and the taxonomy code that categorizes this field of expertise is 103Ts0200X.
When did the Kenneth Kelly receive its 1336364660?
The Kenneth Kelly was issued its 1336364660 on 2007-04-13, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Kenneth Kelly most recently updated or revised?
The details related to Kenneth Kelly, including its address, specialty, and other relevant information, were last updated or revised on 2010-08-18.
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