Mark C Kelley is a Dermatology in Grenada, Mississippi. Mark C Kelley practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Mark C Kelley is 1427004704. The last update date is 2008-04-15.
Mark C Kelley's current location address is 1300 Sunset Dr, Grenada, Mississippi. You can contact this provider via phone number 6622274463 and fax number 6622265257. The mailing address for Mark C Kelley is 1300 Sunset Dr, Grenada, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark C Kelley |
|---|---|
| Address | 1300 Sunset Dr, Grenada, Mississippi |
| Phone Number | 6622274463 |
| Fax Number | 6622265257 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1427004704 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
| Address | 1300 Sunset Dr |
|---|---|
| City | Grenada |
| State | Mississippi (MS) |
| Post Code | 389014086 |
| Phone Number | 6622274463 |
| Fax Number | 6622265257 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 16693 |
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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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What is the unique identifier code issued to Mark C Kelley by the Centers for Medicare & Medicaid Services?
The Mark C Kelley has been assigned the NPI (National Provider Identifier) 1427004704. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark C Kelley's facilities are geographically located?
The facilities of Mark C Kelley are physically situated at the following location: 1300 Sunset Dr, Grenada, MS, 389014086.
What is Mark C Kelley's area of expertise and its corresponding taxonomy classification?
The Mark C Kelley's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1427004704 to Mark C Kelley?
The Centers for Medicare & Medicaid Services assigned the 1427004704 to Mark C Kelley on 2006-05-26.
As of what date were the details related to Mark C Kelley most recently updated or revised?
The information pertaining to Mark C Kelley, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-15.
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