Kelly Dale Fountain in Port Townsend - Chiropractor
Kelly Dale Fountain - NPI 1548389786
Kelly Dale Fountain is a Chiropractor in Port Townsend, Washington. Kelly Dale Fountain practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kelly Dale Fountain is 1548389786. The last update date is 2007-07-08.
Kelly Dale Fountain's current location address is 1330 Lawrence St, Port Townsend, Washington. You can contact this provider via phone number 3603850322 and fax number 3603855626. The mailing address for Kelly Dale Fountain is 1330 Lawrence St, Port Townsend, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Dale Fountain |
|---|---|
| Address | 1330 Lawrence St, Port Townsend, Washington |
| Phone Number | 3603850322 |
| Fax Number | 3603855626 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1548389786 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1330 Lawrence St |
|---|---|
| City | Port Townsend |
| State | Washington (WA) |
| Post Code | 983686555 |
| Phone Number | 3603850322 |
| Fax Number | 3603855626 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH00002812 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique 10-digit identification code issued to Kelly Dale Fountain by the Centers for Medicare & Medicaid Services?
The Kelly Dale Fountain has been assigned the NPI (National Provider Identifier) 1548389786 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Kelly Dale Fountain is physically located?
The Kelly Dale Fountain is physically situated at the following address: 1330 Lawrence St, Port Townsend, WA, 983686555.
What is Kelly Dale Fountain'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 Kelly Dale Fountain is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did Kelly Dale Fountain receive its 1548389786 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Dale Fountain was assigned its 1548389786 on 2007-03-28, 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 Kelly Dale Fountain's details last updated?
The information pertaining to the Kelly Dale Fountain, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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