North Pacific Dermatology A Medical Corporation in Arcata - Dermatology
North Pacific Dermatology A Medical Corporation - NPI 1548489602
North Pacific Dermatology A Medical Corporation is a Dermatology in Arcata, California. North Pacific Dermatology A Medical Corporation practices all healthcare services and medical treatments related to Dermatology. The NPI Number for North Pacific Dermatology A Medical Corporation is 1548489602. The last update date is 2022-07-21.
North Pacific Dermatology A Medical Corporation's current location address is 4715 Valley West Blvd, Arcata, California. You can contact this provider via phone number 7078223376 and fax number 7078225053. The mailing address for North Pacific Dermatology A Medical Corporation is 4715 Valley West Blvd, Arcata, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Pacific Dermatology A Medical Corporation |
|---|---|
| Address | 4715 Valley West Blvd, Arcata, California |
| Phone Number | 7078223376 |
| Fax Number | 7078225053 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kinsley Kelly |
| Credentials | M.D. |
| Telephone Number | 7078223376 |
NPI Number Detail
| NPI Number | 1548489602 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 4715 Valley West Blvd |
|---|---|
| City | Arcata |
| State | California (CA) |
| Post Code | 955213586 |
| Phone Number | 7078223376 |
| Fax Number | 7078225053 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | G77600 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G77600 | CA | MEDICAL LICENSE |
Post Comment/ Review Below
What is the North Pacific Dermatology A Medical Corporation's 1548489602?
The North Pacific Dermatology A Medical Corporation's NPI (National Provider Identifier) Number is 1548489602. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the North Pacific Dermatology A Medical Corporation's physical address?
The North Pacific Dermatology A Medical Corporation is physically located at 4715 Valley West Blvd, in the city of Arcata, CA, with the postal code 955213586.
What is North Pacific Dermatology A Medical Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?
The North Pacific Dermatology A Medical Corporation's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
When did North Pacific Dermatology A Medical Corporation receive its 1548489602 assignment?
The North Pacific Dermatology A Medical Corporation was assigned its 1548489602 on 2007-04-25, which is the date when this unique identifier was issued to the organization.
As of what date were the North Pacific Dermatology A Medical Corporation's details last updated?
The information pertaining to the North Pacific Dermatology A Medical Corporation, including its address, specialty, and other details, was most recently updated on 2022-07-21.