Kelly Pfeifer is a Family Medicine in Petaluma, California. Kelly Pfeifer practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kelly Pfeifer is 1083606776. The last update date is 2007-12-17.
Kelly Pfeifer's current location address is 1301 Southpoint Blvd, Petaluma, California. You can contact this provider via phone number 7075597500 and fax number 7075597570. The mailing address for Kelly Pfeifer is 1301 Southpoint Blvd, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly Pfeifer |
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Address | 1301 Southpoint Blvd, Petaluma, California |
Phone Number | 7075597500 |
Fax Number | 7075597570 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1083606776 |
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Provider Enumeration Date | 2005-08-18 |
Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
Address | 1301 Southpoint Blvd |
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City | Petaluma |
State | California (CA) |
Post Code | 949546858 |
Phone Number | 7075597500 |
Fax Number | 7075597570 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | A66577 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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HAP70696F | CA | -- | |
ZZZ18742Z | CA | ISSUER MEDICARE | |
FHC70696F | CA | -- | |
A66577 | CA | LICENSE | |
BCP70696F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kelly Pfeifer by the Centers for Medicare & Medicaid Services?
The Kelly Pfeifer has been assigned the NPI (National Provider Identifier) 1083606776 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kelly Pfeifer located?
The Kelly Pfeifer is located at 1301 Southpoint Blvd, Petaluma, CA 949546858.
What is Kelly Pfeifer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly Pfeifer's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Kelly Pfeifer receive the assignment of its 1083606776 from the Centers for Medicare & Medicaid Services?
The Kelly Pfeifer was issued its 1083606776 by the Centers for Medicare & Medicaid Services on 2005-08-18.
As of what date was the information pertaining to Kelly Pfeifer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly Pfeifer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-17.