Brandi J Kelly in Lake Charles - Anatomic Pathology & Clinical Pathology
Brandi J Kelly - NPI 1205046414
Brandi J Kelly is a Anatomic Pathology & Clinical Pathology in Lake Charles, Louisiana. Brandi J Kelly practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Brandi J Kelly is 1205046414. The last update date is 2021-08-26.
Brandi J Kelly's current location address is 830 W Bayou Pines Dr, Lake Charles, Louisiana. You can contact this provider via phone number 3374369557 and fax number 3373121311. The mailing address for Brandi J Kelly is 830 W Bayou Pines Dr, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandi J Kelly |
|---|---|
| Address | 830 W Bayou Pines Dr, Lake Charles, Louisiana |
| Phone Number | 3374369557 |
| Fax Number | 3373121311 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205046414 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2021-08-26 |
Provider Mailing Address Detail
| Address | 830 W Bayou Pines Dr |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706017097 |
| Phone Number | 3374369557 |
| Fax Number | 3373121311 |
Provider's Primary Taxonomy Detail
| Speciality | Anatomic Pathology & Clinical Pathology |
|---|---|
| Taxonomy | 207Zp0102X |
| Licence No | MD.201854 |
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Definition: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1214671 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brandi J Kelly by the Centers for Medicare & Medicaid Services (CMS)?
The Brandi J Kelly has been assigned the NPI (National Provider Identifier) 1205046414. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Brandi J Kelly is located?
The Brandi J Kelly is situated at the following address: 830 W Bayou Pines Dr, Lake Charles, LA, 706017097.
What is the Brandi J Kelly's specialty and taxonomy code?
The Brandi J Kelly's specialty is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy code is 207Zp0102X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205046414 to Brandi J Kelly?
The Brandi J Kelly received its 1205046414 assignment from the Centers for Medicare & Medicaid Services on 2007-05-23.
As of what date were the Brandi J Kelly's details last updated?
The information pertaining to the Brandi J Kelly, including its address, specialty, and other details, was most recently updated on 2021-08-26.