Kelly S Vandyke in Fries - Internal Medicine
Kelly S Vandyke - NPI 1801079306
Kelly S Vandyke is a Internal Medicine in Fries, Virginia. Kelly S Vandyke practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kelly S Vandyke is 1801079306. The last update date is 2012-01-09.
Kelly S Vandyke's current location address is 109 Carroll Drive, Fries, Virginia. You can contact this provider via phone number 2767443660 and fax number 2767443843. The mailing address for Kelly S Vandyke is 109 Carroll Drive, Fries, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly S Vandyke |
|---|---|
| Address | 109 Carroll Drive, Fries, Virginia |
| Phone Number | 2767443660 |
| Fax Number | 2767443843 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1801079306 |
|---|---|
| Provider Enumeration Date | 2007-12-07 |
| Last Updated Date | 2012-01-09 |
Provider Mailing Address Detail
| Address | 109 Carroll Drive |
|---|---|
| City | Fries |
| State | Virginia (VA) |
| Post Code | 24330 |
| Phone Number | 2767443660 |
| Fax Number | 2767443843 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 101048616 |
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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 |
|---|---|---|---|
| 1801079306 | VA | -- | |
| 2176496 | MAMSI | ||
| 1801079306 | ANTHEM | ||
| 56162 | MEDCOST |
Post Comment/ Review Below
What is the Kelly S Vandyke's 1801079306?
The Kelly S Vandyke's NPI (National Provider Identifier) Number is 1801079306. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kelly S Vandyke?
The Kelly S Vandyke is physically situated at 109 Carroll Drive, in the city of Fries, state of VA, with the postal code 24330.
What is Kelly S Vandyke's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly S Vandyke is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
When did the Kelly S Vandyke receive its 1801079306?
The Kelly S Vandyke was issued its 1801079306 on 2007-12-07, which is the date when the organization was assigned this unique identifier.
As of what date were the Kelly S Vandyke's details last updated?
The information pertaining to the Kelly S Vandyke, including its address, specialty, and other details, was most recently updated on 2012-01-09.
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