Shannon Blume-Kesselrin in New Hartford - Pediatrics

Shannon Blume-Kesselrin - NPI 1700893914

Shannon Blume-Kesselrin is a Pediatrics in New Hartford, New York. Shannon Blume-Kesselrin practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shannon Blume-Kesselrin is 1700893914. The last update date is 2023-11-02.

Shannon Blume-Kesselrin's current location address is 86 Genesee Street, New Hartford, New York. You can contact this provider via phone number 3157327909 and fax number 3157939307. The mailing address for Shannon Blume-Kesselrin is 86 Genesee Street, New Hartford, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Blume-Kesselrin
Address 86 Genesee Street, New Hartford, New York
Phone Number 3157327909
Fax Number 3157939307
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1700893914
Provider Enumeration Date 2006-08-01
Last Updated Date 2023-11-02

Provider Mailing Address Detail

Address 86 Genesee Street
City New Hartford
State New York (NY)
Post Code 13413
Phone Number 3157327909
Fax Number 3157939307

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 163Wp0200X
Licence No 4918541
Definition:
A registered nurse who cares for infant, child, and adolescent patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2254557 NY --
2996981 NY --
2873201 NY --

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FAQs about Shannon Blume-Kesselrin

What is the unique provider identifier assigned to Shannon Blume-Kesselrin?

The Shannon Blume-Kesselrin has been issued the NPI (National Provider Identifier) 1700893914 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Shannon Blume-Kesselrin is located?

The Shannon Blume-Kesselrin is situated at the following address: 86 Genesee Street, New Hartford, NY, 13413.

What is the Shannon Blume-Kesselrin's specialty and taxonomy code?

The Shannon Blume-Kesselrin's specialty is Pediatrics, and the corresponding taxonomy code is 163Wp0200X.

On what date was the 1700893914 assigned to Shannon Blume-Kesselrin?

The Shannon Blume-Kesselrin was issued its 1700893914 on 2006-08-01, 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 Shannon Blume-Kesselrin's details last updated?

The information pertaining to the Shannon Blume-Kesselrin, including its address, specialty, and other details, was most recently updated on 2023-11-02.

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