John E Kelly is a Family Medicine in Oconomowoc, Wisconsin. John E Kelly practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John E Kelly is 1942262936. The last update date is 2010-07-01.
John E Kelly's current location address is 820 E Summit Ave, Oconomowoc, Wisconsin. You can contact this provider via phone number 2625676927 and fax number 2625678003. The mailing address for John E Kelly is 820 E Summit Ave, Oconomowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John E Kelly |
|---|---|
| Address | 820 E Summit Ave, Oconomowoc, Wisconsin |
| Phone Number | 2625676927 |
| Fax Number | 2625678003 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942262936 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2010-07-01 |
Provider Mailing Address Detail
| Address | 820 E Summit Ave |
|---|---|
| City | Oconomowoc |
| State | Wisconsin (WI) |
| Post Code | 530663920 |
| Phone Number | 2625676927 |
| Fax Number | 2625678003 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 24545 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30453000 | WI | -- | |
| 391620684A | WI | HUMANA | |
| 391620684 | WI | UNITED HEALTH CARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John E Kelly by the Centers for Medicare & Medicaid Services?
The John E Kelly has been issued the NPI (National Provider Identifier) 1942262936 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the John E Kelly's physical address?
The John E Kelly is physically located at 820 E Summit Ave, in the city of Oconomowoc, WI, with the postal code 530663920.
What is the area of specialization for John E Kelly, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John E Kelly is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did John E Kelly receive its 1942262936 assignment from the Centers for Medicare & Medicaid Services?
The John E Kelly was assigned its 1942262936 on 2006-04-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to John E Kelly most recently updated or revised?
The details related to John E Kelly, including its address, specialty, and other relevant information, were last updated or revised on 2010-07-01.