Kelly M Hennessy is a Specialist in Weston, Florida. Kelly M Hennessy practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kelly M Hennessy is 1124116520. The last update date is 2007-07-09.
Kelly M Hennessy's current location address is 16606 Saddle Club Rd, Weston, Florida. You can contact this provider via phone number 9546600551 and fax number 9546600527. The mailing address for Kelly M Hennessy is 16606 Saddle Club Rd, Weston, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly M Hennessy |
|---|---|
| Address | 16606 Saddle Club Rd, Weston, Florida |
| Phone Number | 9546600551 |
| Fax Number | 9546600527 |
| Sole Proprietor | N |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1124116520 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 16606 Saddle Club Rd |
|---|---|
| City | Weston |
| State | Florida (FL) |
| Post Code | 333261808 |
| Phone Number | 9546600551 |
| Fax Number | 9546600527 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | OT11129 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z065P | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly M Hennessy by the Centers for Medicare & Medicaid Services?
The Kelly M Hennessy has been issued the NPI (National Provider Identifier) 1124116520 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kelly M Hennessy?
The Kelly M Hennessy is physically situated at 16606 Saddle Club Rd, in the city of Weston, state of FL, with the postal code 333261808.
What is Kelly M Hennessy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly M Hennessy's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date was the 1124116520 assigned to Kelly M Hennessy?
The Kelly M Hennessy was issued its 1124116520 on 2006-10-11, 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 Kelly M Hennessy's details last updated?
The information pertaining to the Kelly M Hennessy, including its address, specialty, and other details, was most recently updated on 2007-07-09.