Sharon B Kelly in Bellevue - Procedural Dermatology
Sharon B Kelly - NPI 1205930351
Sharon B Kelly is a Procedural Dermatology in Bellevue, Washington. Sharon B Kelly practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Sharon B Kelly is 1205930351. The last update date is 2007-07-09.
Sharon B Kelly's current location address is 14030 Ne 24th St, Bellevue, Washington. You can contact this provider via phone number 4254541104 and fax number 4254541290. The mailing address for Sharon B Kelly is 14030 Ne 24th St, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sharon B Kelly |
|---|---|
| Address | 14030 Ne 24th St, Bellevue, Washington |
| Phone Number | 4254541104 |
| Fax Number | 4254541290 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205930351 |
|---|---|
| Provider Enumeration Date | 2006-09-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 14030 Ne 24th St |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 98007 |
| Phone Number | 4254541104 |
| Fax Number | 4254541290 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | MD00023018 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7080237 | WA | -- | |
| 4291026 | WA | AETNA | |
| KE2842 | WA | REGENCE | |
| 1068816 | WA | -- | |
| CN9262 | WA | RAILROAD MEDICARE GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Sharon B Kelly by the Centers for Medicare & Medicaid Services (CMS)?
The Sharon B Kelly has been assigned the NPI (National Provider Identifier) 1205930351. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Sharon B Kelly?
The Sharon B Kelly is situated at 14030 Ne 24Th St, in the city of Bellevue, state of WA, with the zip code 98007.
What is Sharon B Kelly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sharon B Kelly's area of specialization is Procedural Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Ns0135X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205930351 to Sharon B Kelly?
The Sharon B Kelly received its 1205930351 assignment from the Centers for Medicare & Medicaid Services on 2006-09-11.
As of what date was the information pertaining to Sharon B Kelly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sharon B Kelly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY