Randall James Kelley in Provo - General Practice

Randall James Kelley - NPI 1538387154

Randall James Kelley is a General Practice in Provo, Utah. Randall James Kelley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randall James Kelley is 1538387154. The last update date is 2007-07-08.

Randall James Kelley's current location address is 275 N 500 W, Provo, Utah. You can contact this provider via phone number 8013745768 and fax number 8013753598. The mailing address for Randall James Kelley is 275 N 500 W, Provo, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall James Kelley
Address 275 N 500 W, Provo, Utah
Phone Number 8013745768
Fax Number 8013753598
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1538387154
Provider Enumeration Date 2007-04-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 275 N 500 W
City Provo
State Utah (UT)
Post Code 846013006
Phone Number 8013745768
Fax Number 8013753598

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 33052
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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FAQs about Randall James Kelley

What is the unique identifier code issued to Randall James Kelley by the Centers for Medicare & Medicaid Services?

The Randall James Kelley has been assigned the NPI (National Provider Identifier) 1538387154. 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 street address where Randall James Kelley is physically located?

The Randall James Kelley is physically situated at the following address: 275 N 500 W, Provo, UT, 846013006.

What is Randall James Kelley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Randall James Kelley is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date was the 1538387154 assigned to Randall James Kelley?

The Randall James Kelley was issued its 1538387154 on 2007-04-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Randall James Kelley last refreshed?

The information related to the Randall James Kelley, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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