Kelly M Champion is a Clinical in Ames, Iowa. Kelly M Champion practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly M Champion is 1538354998. The last update date is 2020-05-28.
Kelly M Champion's current location address is 4820 Mortensen Road, Ames, Iowa. You can contact this provider via phone number 7815526500 and fax number 8888594941. The mailing address for Kelly M Champion is 4820 Mortensen Road, Ames, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly M Champion |
|---|---|
| Address | 4820 Mortensen Road, Ames, Iowa |
| Phone Number | 7815526500 |
| Fax Number | 8888594941 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1538354998 |
|---|---|
| Provider Enumeration Date | 2007-09-10 |
| Last Updated Date | 2020-05-28 |
Provider Mailing Address Detail
| Address | 4820 Mortensen Road |
|---|---|
| City | Ames |
| State | Iowa (IA) |
| Post Code | 500145531 |
| Phone Number | 7815526500 |
| Fax Number | 8888594941 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 7388 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| $$$$$$$$$ | SOCIAL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelly M Champion by the Centers for Medicare & Medicaid Services?
The Kelly M Champion has been issued the NPI (National Provider Identifier) 1538354998, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kelly M Champion is physically located?
The Kelly M Champion is physically situated at the following address: 4820 Mortensen Road, Ames, IA, 500145531.
What is the Kelly M Champion's area of specialization and corresponding taxonomy classification?
The Kelly M Champion's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1538354998 to Kelly M Champion?
The Kelly M Champion received its 1538354998 assignment from the Centers for Medicare & Medicaid Services on 2007-09-10.
As of what date was the information regarding Kelly M Champion, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly M Champion, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-05-28.
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