Kelly A Yaddaw is a Specialist in Victor, New York. Kelly A Yaddaw practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kelly A Yaddaw is 1912052036. The last update date is 2007-07-08.
Kelly A Yaddaw's current location address is 590 Fishers Station Dr, Victor, New York. You can contact this provider via phone number 5859247207 and fax number 5859247049. The mailing address for Kelly A Yaddaw is 590 Fishers Station Dr, Victor, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly A Yaddaw |
|---|---|
| Address | 590 Fishers Station Dr, Victor, New York |
| Phone Number | 5859247207 |
| Fax Number | 5859247049 |
| Sole Proprietor | N |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1912052036 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 590 Fishers Station Dr |
|---|---|
| City | Victor |
| State | New York (NY) |
| Post Code | 145649744 |
| Phone Number | 5859247207 |
| Fax Number | 5859247049 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 024111-1 |
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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 10-digit identifier code assigned to Kelly A Yaddaw by the Centers for Medicare & Medicaid Services?
The Kelly A Yaddaw has been issued the NPI (National Provider Identifier) 1912052036 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Kelly A Yaddaw's physical address?
The Kelly A Yaddaw is physically located at 590 Fishers Station Dr, in the city of Victor, NY, with the postal code 145649744.
What is the Kelly A Yaddaw's area of specialization and corresponding taxonomy classification?
The Kelly A Yaddaw's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1912052036 to Kelly A Yaddaw?
The Centers for Medicare & Medicaid Services assigned the 1912052036 to Kelly A Yaddaw on 2007-01-25.
When was the information pertaining to Kelly A Yaddaw most recently updated or revised?
The details related to Kelly A Yaddaw, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.