Kiley Patrick Shafer in Brandon - Emergency Medicine
Kiley Patrick Shafer - NPI 1558386698
Kiley Patrick Shafer is a Emergency Medicine in Brandon, Mississippi. Kiley Patrick Shafer practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Kiley Patrick Shafer is 1558386698. The last update date is 2007-07-08.
Kiley Patrick Shafer's current location address is 355 Audubon Cir, Brandon, Mississippi. You can contact this provider via phone number 6019198036. The mailing address for Kiley Patrick Shafer is 355 Audubon Cir, Brandon, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kiley Patrick Shafer |
|---|---|
| Address | 355 Audubon Cir, Brandon, Mississippi |
| Phone Number | 6019198036 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558386698 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 355 Audubon Cir |
|---|---|
| City | Brandon |
| State | Mississippi (MS) |
| Post Code | 390477783 |
| Phone Number | 6019198036 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 19129 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9937118 | AL | -- | |
| 731-04414 | AL | BLUE CROSS BLUE SHIELD | |
| 6954074 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kiley Patrick Shafer by the Centers for Medicare & Medicaid Services?
The Kiley Patrick Shafer has been issued the NPI (National Provider Identifier) 1558386698 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kiley Patrick Shafer?
The Kiley Patrick Shafer is physically situated at 355 Audubon Cir, in the city of Brandon, state of MS, with the postal code 390477783.
What is Kiley Patrick Shafer's area of expertise and its corresponding taxonomy classification?
The Kiley Patrick Shafer's field of specialization is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kiley Patrick Shafer receive the assignment of its 1558386698 from the Centers for Medicare & Medicaid Services?
The Kiley Patrick Shafer was issued its 1558386698 by the Centers for Medicare & Medicaid Services on 2006-07-12.
As of what date were the details related to Kiley Patrick Shafer most recently updated or revised?
The information pertaining to Kiley Patrick Shafer, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.