Randall K Kielbasa in Fond Du Lac - Social Worker
Randall K Kielbasa - NPI 1649391665
Randall K Kielbasa is a Social Worker in Fond Du Lac, Wisconsin. Randall K Kielbasa practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Randall K Kielbasa is 1649391665. The last update date is 2007-07-08.
Randall K Kielbasa's current location address is 50 N Portland St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209065164. The mailing address for Randall K Kielbasa is 50 N Portland St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall K Kielbasa |
|---|---|
| Address | 50 N Portland St, Fond Du Lac, Wisconsin |
| Phone Number | 9209065164 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1649391665 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 50 N Portland St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 54935 |
| Phone Number | 9209065164 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Social Worker |
|---|---|
| Taxonomy | 104100000X |
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Definition: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an |
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What is the Randall K Kielbasa's 1649391665?
The Randall K Kielbasa's NPI (National Provider Identifier) Number is 1649391665. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Randall K Kielbasa's physical address?
The Randall K Kielbasa is physically located at 50 N Portland St, in the city of Fond Du Lac, WI, with the postal code 54935.
What is Randall K Kielbasa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Randall K Kielbasa's specialized field of practice is Social Worker, and the corresponding taxonomy code that categorizes this area of specialization is 104100000X.
On what date did the Randall K Kielbasa receive the assignment of its 1649391665 from the Centers for Medicare & Medicaid Services?
The Randall K Kielbasa was issued its 1649391665 by the Centers for Medicare & Medicaid Services on 2007-04-03.
When was the information pertaining to Randall K Kielbasa most recently updated or revised?
The details related to Randall K Kielbasa, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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