Kelly Crooker in Mount Vernon - General Practice

Kelly Crooker - NPI 1801980511

Kelly Crooker is a General Practice in Mount Vernon, Alabama. Kelly Crooker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kelly Crooker is 1801980511. The last update date is 2011-03-21.

Kelly Crooker's current location address is 950 W Coy Smith Hwy, Mount Vernon, Alabama. You can contact this provider via phone number 2518299884 and fax number 2518299507. The mailing address for Kelly Crooker is 950 W Coy Smith Hwy, Mount Vernon, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Crooker
Address 950 W Coy Smith Hwy, Mount Vernon, Alabama
Phone Number 2518299884
Fax Number 2518299507
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1801980511
Provider Enumeration Date 2006-10-03
Last Updated Date 2011-03-21

Provider Mailing Address Detail

Address 950 W Coy Smith Hwy
City Mount Vernon
State Alabama (AL)
Post Code 365603201
Phone Number 2518299884
Fax Number 2518299507

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5653
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11846 AL MEDICARE GROUP NUMBER
1063439065 AL SITE NPI GROUP NUMBER
630000013 AL --

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FAQs about Kelly Crooker

What is the unique identifier code issued to Kelly Crooker by the Centers for Medicare & Medicaid Services (CMS)?

The Kelly Crooker has been assigned the NPI (National Provider Identifier) 1801980511. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Kelly Crooker is physically located?

The Kelly Crooker is situated at the following address: 950 W Coy Smith Hwy, Mount Vernon, AL 365603201.

What is the area of specialization for Kelly Crooker, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kelly Crooker is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1801980511 to Kelly Crooker?

The Centers for Medicare & Medicaid Services originally issued the 1801980511 to Kelly Crooker on 2006-10-03.

When was the information regarding Kelly Crooker most recently updated?

The details pertaining to the Kelly Crooker, including its address, specialty, and other relevant information, were last refreshed on 2011-03-21.

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