Patrick Dale Kelly in Bowman - General Practice

Patrick Dale Kelly - NPI 1982757456

Patrick Dale Kelly is a General Practice in Bowman, North Dakota. Patrick Dale Kelly practices all healthcare services and medical treatments related to General Practice. The NPI Number for Patrick Dale Kelly is 1982757456. The last update date is 2007-07-08.

Patrick Dale Kelly's current location address is 608 Hwy 12 West, Bowman, North Dakota. You can contact this provider via phone number 7015233255 and fax number 7015235742. The mailing address for Patrick Dale Kelly is 608 Hwy 12 West, Bowman, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick Dale Kelly
Address 608 Hwy 12 West, Bowman, North Dakota
Phone Number 7015233255
Fax Number 7015235742
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1982757456
Provider Enumeration Date 2007-01-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 608 Hwy 12 West
City Bowman
State North Dakota (ND)
Post Code 586230710
Phone Number 7015233255
Fax Number 7015235742

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 1746
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
40965 ND --

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FAQs about Patrick Dale Kelly

What is the Patrick Dale Kelly's 1982757456?

The Patrick Dale Kelly's NPI (National Provider Identifier) Number is 1982757456. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Patrick Dale Kelly located?

The Patrick Dale Kelly is located at 608 Hwy 12 West, Bowman, ND 586230710.

What is Patrick Dale Kelly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Patrick Dale Kelly is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did Patrick Dale Kelly receive its 1982757456 assignment from the Centers for Medicare & Medicaid Services?

The Patrick Dale Kelly was assigned its 1982757456 on 2007-01-19, 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 pertaining to Patrick Dale Kelly last refreshed?

The information related to the Patrick Dale Kelly, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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