Susan Kelly Blue in Fort Worth - Specialist
Susan Kelly Blue - NPI 1578540431
Susan Kelly Blue is a Specialist in Fort Worth, Texas. Susan Kelly Blue practices all healthcare services and medical treatments related to Specialist. The NPI Number for Susan Kelly Blue is 1578540431. The last update date is 2011-05-11.
Susan Kelly Blue's current location address is 1001 Washington Ave, Fort Worth, Texas. You can contact this provider via phone number 8173347922 and fax number 8178702144. The mailing address for Susan Kelly Blue is 1001 Washington Ave, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Kelly Blue |
|---|---|
| Address | 1001 Washington Ave, Fort Worth, Texas |
| Phone Number | 8173347922 |
| Fax Number | 8178702144 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578540431 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2011-05-11 |
Provider Mailing Address Detail
| Address | 1001 Washington Ave |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761043049 |
| Phone Number | 8173347922 |
| Fax Number | 8178702144 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | E1506 |
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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 Susan Kelly Blue by the Centers for Medicare & Medicaid Services?
The Susan Kelly Blue has been issued the NPI (National Provider Identifier) 1578540431 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Susan Kelly Blue?
The Susan Kelly Blue is situated at 1001 Washington Ave, in the city of Fort Worth, state of TX, with the zip code 761043049.
What is Susan Kelly Blue's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Kelly Blue is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When was the Susan Kelly Blue's 1578540431 issued?
The Susan Kelly Blue's 1578540431 was issued on 2005-12-30.
When was the information related to Susan Kelly Blue most recently updated or refreshed?
The details pertaining to the Susan Kelly Blue, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-05-11.