Kevin Spading is a Clinical in Lake Elmo, Minnesota. Kevin Spading practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Spading is 1972592954. The last update date is 2007-07-08.
Kevin Spading's current location address is 8669 Eagle Point Blvd, Lake Elmo, Minnesota. You can contact this provider via phone number 6513790444 and fax number 6513790434. The mailing address for Kevin Spading is 8669 Eagle Point Blvd, Lake Elmo, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kevin Spading |
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Address | 8669 Eagle Point Blvd, Lake Elmo, Minnesota |
Phone Number | 6513790444 |
Fax Number | 6513790434 |
Sole Proprietor | X |
Credentials | -- |
NPI Number Detail
NPI Number | 1972592954 |
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Provider Enumeration Date | 2005-10-20 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 8669 Eagle Point Blvd |
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City | Lake Elmo |
State | Minnesota (MN) |
Post Code | 550428628 |
Phone Number | 6513790444 |
Fax Number | 6513790434 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 12613 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
539T6SP | MN | BCBS ID# | |
62-57490 | MN | MEDICA/UBH ID# | |
HP42060 | MN | HEALTH PARTNERS |
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What is the unique identifier code issued to Kevin Spading by the Centers for Medicare & Medicaid Services?
The Kevin Spading has been assigned the NPI (National Provider Identifier) 1972592954. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kevin Spading's physical address?
The Kevin Spading is physically located at 8669 Eagle Point Blvd, in the city of Lake Elmo, MN, with the postal code 550428628.
What is the Kevin Spading's specialty and taxonomy code?
The Kevin Spading's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Kevin Spading receive its 1972592954 assignment?
The Kevin Spading was assigned its 1972592954 on 2005-10-20, which is the date when this unique identifier was issued to the organization.
When was the Kevin Spading's information last updated?
The Kevin Spading's information was last updated on 2007-07-08.