Jennifer Johnson Kelly in Clarendon - Pediatrics
Jennifer Johnson Kelly - NPI 1649320607
Jennifer Johnson Kelly is a Pediatrics in Clarendon, Arkansas. Jennifer Johnson Kelly practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jennifer Johnson Kelly is 1649320607. The last update date is 2019-01-24.
Jennifer Johnson Kelly's current location address is 245 Madison St, Clarendon, Arkansas. You can contact this provider via phone number 8707473381. The mailing address for Jennifer Johnson Kelly is 245 Madison St, Clarendon, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Johnson Kelly |
|---|---|
| Address | 245 Madison St, Clarendon, Arkansas |
| Phone Number | 8707473381 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1649320607 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2019-01-24 |
Provider Mailing Address Detail
| Address | 245 Madison St |
|---|---|
| City | Clarendon |
| State | Arkansas (AR) |
| Post Code | 720292706 |
| Phone Number | 8707473381 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | E6540 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 184379001 | AR | -- |
Post Comment/ Review Below
What is the Jennifer Johnson Kelly's 1649320607?
The Jennifer Johnson Kelly's NPI (National Provider Identifier) Number is 1649320607. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jennifer Johnson Kelly is geographically located?
The Jennifer Johnson Kelly is physically situated at the following location: 245 Madison St, Clarendon, AR, 720292706.
What is the Jennifer Johnson Kelly's specialty and taxonomy code?
The Jennifer Johnson Kelly's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did Jennifer Johnson Kelly receive its 1649320607 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Johnson Kelly was assigned its 1649320607 on 2007-01-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jennifer Johnson Kelly, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jennifer Johnson Kelly, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-01-24.