Peter Lee Kelzenberg in Osseo - Radiology

Peter Lee Kelzenberg - NPI 1043483084

Peter Lee Kelzenberg is a Radiology in Osseo, Minnesota. Peter Lee Kelzenberg practices all healthcare services and medical treatments related to Radiology. The NPI Number for Peter Lee Kelzenberg is 1043483084. The last update date is 2008-04-10.

Peter Lee Kelzenberg's current location address is 220 Central Avenue, Osseo, Minnesota. You can contact this provider via phone number 7634255525 and fax number 7634256229. The mailing address for Peter Lee Kelzenberg is 220 Central Avenue, Osseo, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Lee Kelzenberg
Address 220 Central Avenue, Osseo, Minnesota
Phone Number 7634255525
Fax Number 7634256229
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1043483084
Provider Enumeration Date 2008-04-10
Last Updated Date 2008-04-10

Provider Mailing Address Detail

Address 220 Central Avenue
City Osseo
State Minnesota (MN)
Post Code 55369
Phone Number 7634255525
Fax Number 7634256229

Provider's Primary Taxonomy Detail

Speciality Radiology
Taxonomy 111Nr0200X
Licence No 3440
Definition:
Chiropractic radiology is a referral specialty that provides consultation services at the request of other qualified doctors. Chiropractic radiologists provide consultation in health care facilities (private offices, hospitals and teaching institutio

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
604271 MN HEALTH PARTNERS
02D86OS MN BCBS
44-40379 MN MEDICA

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FAQs about Peter Lee Kelzenberg

What is the unique 10-digit identifier code assigned to Peter Lee Kelzenberg by the Centers for Medicare & Medicaid Services?

The Peter Lee Kelzenberg has been issued the NPI (National Provider Identifier) 1043483084 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Peter Lee Kelzenberg?

The Peter Lee Kelzenberg is physically situated at 220 Central Avenue, in the city of Osseo, state of MN, with the postal code 55369.

What is Peter Lee Kelzenberg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Peter Lee Kelzenberg is Radiology, and the taxonomy code that classifies this field of practice is 111Nr0200X.

On what date did Peter Lee Kelzenberg receive its 1043483084 assignment from the Centers for Medicare & Medicaid Services?

The Peter Lee Kelzenberg was assigned its 1043483084 on 2008-04-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Peter Lee Kelzenberg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Peter Lee Kelzenberg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-10.

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