Charles E Kelly in Roseville - Internal Medicine
Charles E Kelly - NPI 1730123639
Charles E Kelly is a Internal Medicine in Roseville, Minnesota. Charles E Kelly practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Charles E Kelly is 1730123639. The last update date is 2016-02-11.
Charles E Kelly's current location address is 3050 Centre Pointe Drive, Roseville, Minnesota. You can contact this provider via phone number 6516399150 and fax number 6516399153. The mailing address for Charles E Kelly is 3050 Centre Pointe Drive, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles E Kelly |
|---|---|
| Address | 3050 Centre Pointe Drive, Roseville, Minnesota |
| Phone Number | 6516399150 |
| Fax Number | 6516399153 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1730123639 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2016-02-11 |
Provider Mailing Address Detail
| Address | 3050 Centre Pointe Drive |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 55113 |
| Phone Number | 6516399150 |
| Fax Number | 6516399153 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 26263 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 286577 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles E Kelly?
The Charles E Kelly has been issued the NPI (National Provider Identifier) 1730123639 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Charles E Kelly is physically located?
The Charles E Kelly is situated at the following address: 3050 Centre Pointe Drive, Roseville, MN 55113.
What is Charles E Kelly's area of expertise and its corresponding taxonomy classification?
The Charles E Kelly'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.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730123639 to Charles E Kelly?
The Centers for Medicare & Medicaid Services originally issued the 1730123639 to Charles E Kelly on 2006-06-15.
As of what date were the details related to Charles E Kelly most recently updated or revised?
The information pertaining to Charles E Kelly, including its address, specialty, and other relevant details, was last updated or revised on 2016-02-11.