Kimberly Rae Kelly in Fargo - Dermatology
Kimberly Rae Kelly - NPI 1245223023
Kimberly Rae Kelly is a Dermatology in Fargo, North Dakota. Kimberly Rae Kelly practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Kimberly Rae Kelly is 1245223023. The last update date is 2011-08-25.
Kimberly Rae Kelly's current location address is Po Box 6001, Fargo, North Dakota. You can contact this provider via phone number 7013643300 and fax number 7013648906. The mailing address for Kimberly Rae Kelly is Po Box 6001, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Rae Kelly |
|---|---|
| Address | Po Box 6001, Fargo, North Dakota |
| Phone Number | 7013643300 |
| Fax Number | 7013648906 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245223023 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2011-08-25 |
Provider Mailing Address Detail
| Address | Po Box 6001 |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581086001 |
| Phone Number | 7013643300 |
| Fax Number | 7013648906 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 5817 |
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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 |
|---|---|---|---|
| 16323 | ND | -- | |
| 300403 | MEDICA | ||
| 25535 | ND | BLUE SHIELD | |
| 511R8KE | MN | BLUE SHIELD | |
| 772090400 | MN | MEDICAL ASSISTANCE | |
| HP17495 | HEALTHPARTNERS |
Post Comment/ Review Below
What is the Kimberly Rae Kelly's 1245223023?
The Kimberly Rae Kelly's NPI (National Provider Identifier) Number is 1245223023. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kimberly Rae Kelly's physical address?
The Kimberly Rae Kelly is physically located at Po Box 6001, in the city of Fargo, ND, with the postal code 581086001.
What is the Kimberly Rae Kelly's specialty and taxonomy code?
The Kimberly Rae Kelly's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
When did Kimberly Rae Kelly receive its 1245223023 assignment?
The Kimberly Rae Kelly was assigned its 1245223023 on 2005-08-26, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Kimberly Rae Kelly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kimberly Rae Kelly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-08-25.