Susan Elizabeth Kelly in Modesto - Specialist
Susan Elizabeth Kelly - NPI 1235310061
Susan Elizabeth Kelly is a Specialist in Modesto, California. Susan Elizabeth Kelly practices all healthcare services and medical treatments related to Specialist. The NPI Number for Susan Elizabeth Kelly is 1235310061. The last update date is 2007-11-20.
Susan Elizabeth Kelly's current location address is 3709 Bridgeford Ln, Modesto, California. You can contact this provider via phone number 2095215322. The mailing address for Susan Elizabeth Kelly is 3709 Bridgeford Ln, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Elizabeth Kelly |
|---|---|
| Address | 3709 Bridgeford Ln, Modesto, California |
| Phone Number | 2095215322 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1235310061 |
|---|---|
| Provider Enumeration Date | 2007-11-20 |
| Last Updated Date | 2007-11-20 |
Provider Mailing Address Detail
| Address | 3709 Bridgeford Ln |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953561658 |
| Phone Number | 2095215322 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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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. |
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What is the unique 10-digit identification code issued to Susan Elizabeth Kelly by the Centers for Medicare & Medicaid Services?
The Susan Elizabeth Kelly has been assigned the NPI (National Provider Identifier) 1235310061 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Susan Elizabeth Kelly located?
The Susan Elizabeth Kelly is located at 3709 Bridgeford Ln, Modesto, CA 953561658.
What is Susan Elizabeth Kelly's area of expertise and its corresponding taxonomy classification?
The Susan Elizabeth Kelly's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1235310061 to Susan Elizabeth Kelly?
The Susan Elizabeth Kelly received its 1235310061 assignment from the Centers for Medicare & Medicaid Services on 2007-11-20.
As of what date were the Susan Elizabeth Kelly's details last updated?
The information pertaining to the Susan Elizabeth Kelly, including its address, specialty, and other details, was most recently updated on 2007-11-20.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC