Robert Miles Kelso in Knoxville - General Practice

Robert Miles Kelso - NPI 1487787172

Robert Miles Kelso is a General Practice in Knoxville, Tennessee. Robert Miles Kelso practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert Miles Kelso is 1487787172. The last update date is 2022-04-20.

Robert Miles Kelso's current location address is 6231 Highland Place Way Ste 202, Knoxville, Tennessee. You can contact this provider via phone number 8655886534 and fax number 8655882576. The mailing address for Robert Miles Kelso is 6231 Highland Place Way Ste 202, Knoxville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Miles Kelso
Address 6231 Highland Place Way Ste 202, Knoxville, Tennessee
Phone Number 8655886534
Fax Number 8655882576
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1487787172
Provider Enumeration Date 2007-03-13
Last Updated Date 2022-04-20

Provider Mailing Address Detail

Address 6231 Highland Place Way Ste 202
City Knoxville
State Tennessee (TN)
Post Code 379194083
Phone Number 8655886534
Fax Number 8655882576

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8033
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
450517441 TN FEDERAL TAX ID
4062119 TN BLUE CROSS BLUE SHIELD TN

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FAQs about Robert Miles Kelso

What is the Robert Miles Kelso's unique identification number?

The Robert Miles Kelso has been assigned the NPI (National Provider Identifier) Number 1487787172 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Robert Miles Kelso's physical address?

The Robert Miles Kelso is physically located at 6231 Highland Place Way Ste 202, in the city of Knoxville, TN, with the postal code 379194083.

What is Robert Miles Kelso's specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert Miles Kelso's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date was the 1487787172 assigned to Robert Miles Kelso?

The Robert Miles Kelso was issued its 1487787172 on 2007-03-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Robert Miles Kelso most recently updated or revised?

The details related to Robert Miles Kelso, including its address, specialty, and other relevant information, were last updated or revised on 2022-04-20.

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