Charles E Kelly is a Specialist in Roseville, Minnesota. Charles E Kelly practices all healthcare services and medical treatments related to Specialist. The NPI Number for Charles E Kelly is 1730123639. The last update date is 2016-02-11.
Charles E Kelly's current location address is 3050 Centre Pointe Drive, Roseville, Minnesota. You can contact this provider via phone number 6516399150 and fax number 6516399153. The mailing address for Charles E Kelly is 3050 Centre Pointe Drive, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Charles E Kelly |
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Address | 3050 Centre Pointe Drive, Roseville, Minnesota |
Phone Number | 6516399150 |
Fax Number | 6516399153 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1730123639 |
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Provider Enumeration Date | 2006-06-15 |
Last Updated Date | 2016-02-11 |
Provider Mailing Address Detail
Address | 3050 Centre Pointe Drive |
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City | Roseville |
State | Minnesota (MN) |
Post Code | 55113 |
Phone Number | 6516399150 |
Fax Number | 6516399153 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 26263 |
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 |
---|---|---|---|
286577 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles E Kelly?
The Charles E Kelly has been issued the NPI (National Provider Identifier) 1730123639 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 address where Charles E Kelly is physically located?
The Charles E Kelly is situated at the following address: 3050 Centre Pointe Drive, Roseville, MN 55113.
What is Charles E Kelly's area of expertise and its corresponding taxonomy classification?
The Charles E 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 originally issue the 1730123639 to Charles E Kelly?
The Centers for Medicare & Medicaid Services originally issued the 1730123639 to Charles E Kelly on 2006-06-15.
As of what date were the details related to Charles E Kelly most recently updated or revised?
The information pertaining to Charles E Kelly, including its address, specialty, and other relevant details, was last updated or revised on 2016-02-11.