Kelley Lynn Haag in Prescott Valley - Specialist

Kelley Lynn Haag - NPI 1154481240

Kelley Lynn Haag is a Specialist in Prescott Valley, Arizona. Kelley Lynn Haag practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kelley Lynn Haag is 1154481240. The last update date is 2007-07-08.

Kelley Lynn Haag's current location address is 3100 Mountain View, Prescott Valley, Arizona. You can contact this provider via phone number 9287597072. The mailing address for Kelley Lynn Haag is 3100 Mountain View, Prescott Valley, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelley Lynn Haag
Address 3100 Mountain View, Prescott Valley, Arizona
Phone Number 9287597072
Fax Number
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1154481240
Provider Enumeration Date 2006-12-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3100 Mountain View
City Prescott Valley
State Arizona (AZ)
Post Code 863142572
Phone Number 9287597072
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
839392 AK AHCCCS

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FAQs about Kelley Lynn Haag

What is the Kelley Lynn Haag's 1154481240?

The Kelley Lynn Haag's NPI (National Provider Identifier) Number is 1154481240. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kelley Lynn Haag is physically located?

The Kelley Lynn Haag is physically situated at the following address: 3100 Mountain View, Prescott Valley, AZ, 863142572.

What is Kelley Lynn Haag's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kelley Lynn Haag's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date was the 1154481240 assigned to Kelley Lynn Haag?

The Kelley Lynn Haag was issued its 1154481240 on 2006-12-11, 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 Kelley Lynn Haag most recently updated or revised?

The details related to Kelley Lynn Haag, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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