Robert Odie Kelly in Cleburne - General Practice
Robert Odie Kelly - NPI 1063412443
Robert Odie Kelly is a General Practice in Cleburne, Texas. Robert Odie Kelly practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert Odie Kelly is 1063412443. The last update date is 2007-07-08.
Robert Odie Kelly's current location address is 302 N Ridgeway Dr, Cleburne, Texas. You can contact this provider via phone number 8176412511 and fax number 8176412514. The mailing address for Robert Odie Kelly is 302 N Ridgeway Dr, Cleburne, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert Odie Kelly |
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Address | 302 N Ridgeway Dr, Cleburne, Texas |
Phone Number | 8176412511 |
Fax Number | 8176412514 |
Sole Proprietor | X |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1063412443 |
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Provider Enumeration Date | 2005-07-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 302 N Ridgeway Dr |
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City | Cleburne |
State | Texas (TX) |
Post Code | 760335153 |
Phone Number | 8176412511 |
Fax Number | 8176412514 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 9074 |
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. |
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What is the unique identifier code issued to Robert Odie Kelly by the Centers for Medicare & Medicaid Services?
The Robert Odie Kelly has been assigned the NPI (National Provider Identifier) 1063412443. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Robert Odie Kelly?
The Robert Odie Kelly is physically situated at 302 N Ridgeway Dr, in the city of Cleburne, state of TX, with the postal code 760335153.
What is Robert Odie Kelly's area of expertise and its corresponding taxonomy classification?
The Robert Odie Kelly's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1063412443 to Robert Odie Kelly?
The Robert Odie Kelly received its 1063412443 assignment from the Centers for Medicare & Medicaid Services on 2005-07-28.
When was the information regarding Robert Odie Kelly most recently updated?
The details pertaining to the Robert Odie Kelly, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.