Keely Waters Kaklaman in Tallahassee - Exercise & Sports

Keely Waters Kaklaman - NPI 1811029283

Keely Waters Kaklaman is a Exercise & Sports in Tallahassee, Florida. Keely Waters Kaklaman practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Keely Waters Kaklaman is 1811029283. The last update date is 2012-05-07.

Keely Waters Kaklaman's current location address is 1311 Covington Dr, Tallahassee, Florida. You can contact this provider via phone number 8509060331. The mailing address for Keely Waters Kaklaman is 1311 Covington Dr, Tallahassee, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Keely Waters Kaklaman
Address 1311 Covington Dr, Tallahassee, Florida
Phone Number 8509060331
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1811029283
Provider Enumeration Date 2007-03-12
Last Updated Date 2012-05-07

Provider Mailing Address Detail

Address 1311 Covington Dr
City Tallahassee
State Florida (FL)
Post Code 323122504
Phone Number 8509060331
Fax Number

Provider's Primary Taxonomy Detail

Speciality Exercise & Sports
Taxonomy 103Te1100X
Licence No PY7401
Definition:
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated wi

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FAQs about Keely Waters Kaklaman

What is the unique 10-digit identifier code assigned to Keely Waters Kaklaman by the Centers for Medicare & Medicaid Services?

The Keely Waters Kaklaman has been issued the NPI (National Provider Identifier) 1811029283 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Keely Waters Kaklaman?

The Keely Waters Kaklaman is physically situated at 1311 Covington Dr, in the city of Tallahassee, state of FL, with the postal code 323122504.

What is Keely Waters Kaklaman'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 Keely Waters Kaklaman is Exercise & Sports, and the taxonomy classification code that categorizes this area of expertise is 103Te1100X.

On what date did Keely Waters Kaklaman receive its 1811029283 assignment from the Centers for Medicare & Medicaid Services?

The Keely Waters Kaklaman was assigned its 1811029283 on 2007-03-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Keely Waters Kaklaman most recently updated or revised?

The information pertaining to Keely Waters Kaklaman, including its address, specialty, and other relevant details, was last updated or revised on 2012-05-07.

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