Kelly Lee Mckerahan in Murrieta - Family Medicine

Kelly Lee Mckerahan - NPI 1184705790

Kelly Lee Mckerahan is a Family Medicine in Murrieta, California. Kelly Lee Mckerahan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kelly Lee Mckerahan is 1184705790. The last update date is 2012-11-13.

Kelly Lee Mckerahan's current location address is 25095 Jefferson Ave, Murrieta, California. You can contact this provider via phone number 9516969566 and fax number 9516969536. The mailing address for Kelly Lee Mckerahan is 25095 Jefferson Ave, Murrieta, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Lee Mckerahan
Address 25095 Jefferson Ave, Murrieta, California
Phone Number 9516969566
Fax Number 9516969536
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1184705790
Provider Enumeration Date 2006-10-18
Last Updated Date 2012-11-13

Provider Mailing Address Detail

Address 25095 Jefferson Ave
City Murrieta
State California (CA)
Post Code 925629113
Phone Number 9516969566
Fax Number 9516969536

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 20A6780
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GQ215Z PTAN

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FAQs about Kelly Lee Mckerahan

What is the unique 10-digit identification code assigned to Kelly Lee Mckerahan by the Centers for Medicare & Medicaid Services?

The Kelly Lee Mckerahan has been issued the NPI (National Provider Identifier) 1184705790, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kelly Lee Mckerahan's facilities are situated?

The facilities of Kelly Lee Mckerahan are physically located at the following address: 25095 Jefferson Ave, Murrieta, CA, 925629113.

What is Kelly Lee Mckerahan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kelly Lee Mckerahan is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date was the 1184705790 assigned to Kelly Lee Mckerahan?

The Kelly Lee Mckerahan was issued its 1184705790 on 2006-10-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kelly Lee Mckerahan last refreshed?

The information related to the Kelly Lee Mckerahan, including its address, specialty, and other relevant details, was last updated on 2012-11-13.

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