Mark J. Kellen is a Anesthesiology in Rockford, Illinois. Mark J. Kellen practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Mark J. Kellen is 1023178647. The last update date is 2023-09-13.
Mark J. Kellen's current location address is 5875 E Riverside Blvd, Rockford, Illinois. You can contact this provider via phone number 8153989491 and fax number 8153817498. The mailing address for Mark J. Kellen is 5875 E Riverside Blvd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J. Kellen |
|---|---|
| Address | 5875 E Riverside Blvd, Rockford, Illinois |
| Phone Number | 8153989491 |
| Fax Number | 8153817498 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023178647 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2023-09-13 |
Provider Mailing Address Detail
| Address | 5875 E Riverside Blvd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611144937 |
| Phone Number | 8153989491 |
| Fax Number | 8153817498 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiology |
|---|---|
| Taxonomy | 207L00000X |
| Licence No | 036-097446 |
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Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36097446 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mark J. Kellen by the Centers for Medicare & Medicaid Services?
The Mark J. Kellen has been issued the NPI (National Provider Identifier) 1023178647. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark J. Kellen is located?
The Mark J. Kellen is situated at the following address: 5875 E Riverside Blvd, Rockford, IL, 611144937.
What is Mark J. Kellen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark J. Kellen is Anesthesiology, and the taxonomy code that classifies this field of practice is 207L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023178647 to Mark J. Kellen?
The Centers for Medicare & Medicaid Services assigned the 1023178647 to Mark J. Kellen on 2006-12-12.
When was the information pertaining to Mark J. Kellen most recently updated or revised?
The details related to Mark J. Kellen, including its address, specialty, and other relevant information, were last updated or revised on 2023-09-13.