Kim Nan Kelley is a Specialist in Minnetonka, Minnesota. Kim Nan Kelley practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kim Nan Kelley is 1679631899. The last update date is 2007-07-08.
Kim Nan Kelley's current location address is 3395 Plymouth Rd, Minnetonka, Minnesota. You can contact this provider via phone number 9529390396 and fax number 9525488760. The mailing address for Kim Nan Kelley is 3395 Plymouth Rd, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Nan Kelley |
|---|---|
| Address | 3395 Plymouth Rd, Minnetonka, Minnesota |
| Phone Number | 9529390396 |
| Fax Number | 9525488760 |
| Sole Proprietor | N |
| Credentials | OTRL |
NPI Number Detail
| NPI Number | 1679631899 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3395 Plymouth Rd |
|---|---|
| City | Minnetonka |
| State | Minnesota (MN) |
| Post Code | 553053765 |
| Phone Number | 9529390396 |
| Fax Number | 9525488760 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 102295 |
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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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Post Comment/ Review Below
What is the unique identification code assigned to Kim Nan Kelley by the Centers for Medicare & Medicaid Services?
The Kim Nan Kelley has been issued the NPI (National Provider Identifier) 1679631899. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kim Nan Kelley's facilities are geographically located?
The facilities of Kim Nan Kelley are physically situated at the following location: 3395 Plymouth Rd, Minnetonka, MN, 553053765.
What is Kim Nan Kelley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kim Nan Kelley is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date was the 1679631899 assigned to Kim Nan Kelley?
The Kim Nan Kelley was issued its 1679631899 on 2006-12-04, 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 related to Kim Nan Kelley most recently updated or revised?
The information pertaining to Kim Nan Kelley, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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