Pamela Elyse Kershaw in Palm Bay - Chiropractor
Pamela Elyse Kershaw - NPI 1386844561
Pamela Elyse Kershaw is a Chiropractor in Palm Bay, Florida. Pamela Elyse Kershaw practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Pamela Elyse Kershaw is 1386844561. The last update date is 2007-07-25.
Pamela Elyse Kershaw's current location address is 2060 Palm Bay Rd Ne Ste 5, Palm Bay, Florida. You can contact this provider via phone number 3215917450 and fax number 3219511004. The mailing address for Pamela Elyse Kershaw is 2060 Palm Bay Rd Ne Ste 5, Palm Bay, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Elyse Kershaw |
|---|---|
| Address | 2060 Palm Bay Rd Ne Ste 5, Palm Bay, Florida |
| Phone Number | 3215917450 |
| Fax Number | 3219511004 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1386844561 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2007-07-25 |
Provider Mailing Address Detail
| Address | 2060 Palm Bay Rd Ne Ste 5 |
|---|---|
| City | Palm Bay |
| State | Florida (FL) |
| Post Code | 329052931 |
| Phone Number | 3215917450 |
| Fax Number | 3219511004 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH0006237 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CH0006237 | FL | FL LICENSE | |
| 6125 | NY | NY LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pamela Elyse Kershaw?
The Pamela Elyse Kershaw has been issued the NPI (National Provider Identifier) 1386844561 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Pamela Elyse Kershaw's physical address?
The Pamela Elyse Kershaw is physically located at 2060 Palm Bay Rd Ne Ste 5, in the city of Palm Bay, FL, with the postal code 329052931.
What is Pamela Elyse Kershaw's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pamela Elyse Kershaw's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did Pamela Elyse Kershaw receive its 1386844561 assignment from the Centers for Medicare & Medicaid Services?
The Pamela Elyse Kershaw was assigned its 1386844561 on 2007-07-25, 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 details related to Pamela Elyse Kershaw most recently updated or revised?
The information pertaining to Pamela Elyse Kershaw, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-25.