Eleanor Kelly, Md, Inc in Newport Beach - Internal Medicine

Eleanor Kelly, Md, Inc - NPI 1114069549

Eleanor Kelly, Md, Inc is a Internal Medicine in Newport Beach, California. Eleanor Kelly, Md, Inc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Eleanor Kelly, Md, Inc is 1114069549. The last update date is 2015-12-28.

Eleanor Kelly, Md, Inc's current location address is 5100 Birch St, Newport Beach, California. You can contact this provider via phone number 9497350174 and fax number 9498547143. The mailing address for Eleanor Kelly, Md, Inc is 5100 Birch St, Newport Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eleanor Kelly, Md, Inc
Address 5100 Birch St, Newport Beach, California
Phone Number 9497350174
Fax Number 9498547143
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Kelly Marie Eleanor
Credentials MD
Telephone Number 9497350174

NPI Number Detail

NPI Number 1114069549
Provider Enumeration Date 2007-02-13
Last Updated Date 2015-12-28

Provider Mailing Address Detail

Address 5100 Birch St
City Newport Beach
State California (CA)
Post Code 926602160
Phone Number 9497350174
Fax Number 9498547143

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No A064544
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Eleanor Kelly, Md, Inc

What is the unique 10-digit identifier code assigned to Eleanor Kelly, Md, Inc by the Centers for Medicare & Medicaid Services?

The Eleanor Kelly, Md, Inc has been issued the NPI (National Provider Identifier) 1114069549 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 Eleanor Kelly, Md, Inc?

The Eleanor Kelly, Md, Inc is physically situated at 5100 Birch St, in the city of Newport Beach, state of CA, with the postal code 926602160.

What is Eleanor Kelly, Md, Inc's area of expertise and its corresponding taxonomy classification?

The Eleanor Kelly, Md, Inc's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

When did Eleanor Kelly, Md, Inc receive its 1114069549 assignment?

The Eleanor Kelly, Md, Inc was assigned its 1114069549 on 2007-02-13, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Eleanor Kelly, Md, Inc most recently updated or revised?

The details related to Eleanor Kelly, Md, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2015-12-28.

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