Kelly Jay Poole is a Clinical in Randleman, North Carolina. Kelly Jay Poole practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Jay Poole is 1760419725. The last update date is 2007-07-08.
Kelly Jay Poole's current location address is Po Box 814, Randleman, North Carolina. You can contact this provider via phone number 3364952700 and fax number 3364955552. The mailing address for Kelly Jay Poole is Po Box 814, Randleman, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Jay Poole |
|---|---|
| Address | Po Box 814, Randleman, North Carolina |
| Phone Number | 3364952700 |
| Fax Number | 3364955552 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1760419725 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 814 |
|---|---|
| City | Randleman |
| State | North Carolina (NC) |
| Post Code | 273170814 |
| Phone Number | 3364952700 |
| Fax Number | 3364955552 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C001120 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6002280 | NC | -- |
Post Comment/ Review Below
What is the Kelly Jay Poole's 1760419725?
The Kelly Jay Poole's NPI (National Provider Identifier) Number is 1760419725. 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 street address where Kelly Jay Poole is physically located?
The Kelly Jay Poole is physically situated at the following address: Po Box 814, Randleman, NC, 273170814.
What is Kelly Jay Poole's area of expertise and its corresponding taxonomy classification?
The Kelly Jay Poole's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1760419725 assigned to Kelly Jay Poole?
The Kelly Jay Poole was issued its 1760419725 on 2006-06-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kelly Jay Poole last refreshed?
The information related to the Kelly Jay Poole, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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