Matthew R Kelleher in Manitowoc - Dermatology
Matthew R Kelleher - NPI 1225022882
Matthew R Kelleher is a Dermatology in Manitowoc, Wisconsin. Matthew R Kelleher practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Matthew R Kelleher is 1225022882. The last update date is 2021-02-22.
Matthew R Kelleher's current location address is 801 York St, Manitowoc, Wisconsin. You can contact this provider via phone number 9206639016 and fax number 9206841439. The mailing address for Matthew R Kelleher is 801 York St, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew R Kelleher |
|---|---|
| Address | 801 York St, Manitowoc, Wisconsin |
| Phone Number | 9206639016 |
| Fax Number | 9206841439 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225022882 |
|---|---|
| Provider Enumeration Date | 2005-09-09 |
| Last Updated Date | 2021-02-22 |
Provider Mailing Address Detail
| Address | 801 York St |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542204630 |
| Phone Number | 9206639016 |
| Fax Number | 9206841439 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 36082281 |
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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 identification code assigned to Matthew R Kelleher by the Centers for Medicare & Medicaid Services?
The Matthew R Kelleher has been issued the NPI (National Provider Identifier) 1225022882. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Matthew R Kelleher is geographically located?
The Matthew R Kelleher is physically situated at the following location: 801 York St, Manitowoc, WI, 542204630.
What is Matthew R Kelleher's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Matthew R Kelleher's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date did Matthew R Kelleher receive its 1225022882 assignment from the Centers for Medicare & Medicaid Services?
The Matthew R Kelleher was assigned its 1225022882 on 2005-09-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Matthew R Kelleher, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Matthew R Kelleher, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-02-22.