Sharon L Kelley is a Clinical in Ava, Missouri. Sharon L Kelley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sharon L Kelley is 1720053689. The last update date is 2015-02-23.
Sharon L Kelley's current location address is Po Box 1359, Ava, Missouri. You can contact this provider via phone number 4176835739 and fax number 4176831602. The mailing address for Sharon L Kelley is Po Box 1359, Ava, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sharon L Kelley |
|---|---|
| Address | Po Box 1359, Ava, Missouri |
| Phone Number | 4176835739 |
| Fax Number | 4176831602 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1720053689 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2015-02-23 |
Provider Mailing Address Detail
| Address | Po Box 1359 |
|---|---|
| City | Ava |
| State | Missouri (MO) |
| Post Code | 656081359 |
| Phone Number | 4176835739 |
| Fax Number | 4176831602 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 10398 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00122802 | RAILROAD MEDICARE | ||
| 499145522 | MO | -- | |
| 499145514 | MO | -- | |
| 4856200 | FL | -- | |
| 499145506 | MO | -- | |
| 189212 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Sharon L Kelley's 1720053689?
The Sharon L Kelley's NPI (National Provider Identifier) Number is 1720053689. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Sharon L Kelley?
The Sharon L Kelley is physically situated at Po Box 1359, in the city of Ava, state of MO, with the postal code 656081359.
What is Sharon L Kelley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sharon L Kelley is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Sharon L Kelley receive its 1720053689 assignment from the Centers for Medicare & Medicaid Services?
The Sharon L Kelley was assigned its 1720053689 by the Centers for Medicare & Medicaid Services on 2006-02-22.
As of what date were the details related to Sharon L Kelley most recently updated or revised?
The information pertaining to Sharon L Kelley, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-23.