Kristen Kelley is a Clinical in Ponte Vedra, Florida. Kristen Kelley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kristen Kelley is 1154483956. The last update date is 2018-07-26.
Kristen Kelley's current location address is 1100 Sawgrass Village Dr Ste 100, Ponte Vedra, Florida. You can contact this provider via phone number 9042859355 and fax number 9042858422. The mailing address for Kristen Kelley is 1100 Sawgrass Village Dr Ste 100, Ponte Vedra, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristen Kelley |
|---|---|
| Address | 1100 Sawgrass Village Dr Ste 100, Ponte Vedra, Florida |
| Phone Number | 9042859355 |
| Fax Number | 9042858422 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1154483956 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2018-07-26 |
Provider Mailing Address Detail
| Address | 1100 Sawgrass Village Dr Ste 100 |
|---|---|
| City | Ponte Vedra |
| State | Florida (FL) |
| Post Code | 32082 |
| Phone Number | 9042859355 |
| Fax Number | 9042858422 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY20211 |
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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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What is the unique 10-digit identification code assigned to Kristen Kelley by the Centers for Medicare & Medicaid Services?
The Kristen Kelley has been issued the NPI (National Provider Identifier) 1154483956, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kristen Kelley located?
The Kristen Kelley is located at 1100 Sawgrass Village Dr Ste 100, Ponte Vedra, FL 32082.
What is Kristen Kelley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kristen Kelley's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date was the 1154483956 assigned to Kristen Kelley?
The Kristen Kelley was issued its 1154483956 on 2006-12-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kristen Kelley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kristen Kelley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-07-26.