Charles Jude Kelly in Edgewood - Pediatrics
Charles Jude Kelly - NPI 1972576098
Charles Jude Kelly is a Pediatrics in Edgewood, Kentucky. Charles Jude Kelly practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Charles Jude Kelly is 1972576098. The last update date is 2007-07-08.
Charles Jude Kelly's current location address is 20 Medical Village Dr, Edgewood, Kentucky. You can contact this provider via phone number 8593411011 and fax number 8593417198. The mailing address for Charles Jude Kelly is 20 Medical Village Dr, Edgewood, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Jude Kelly |
|---|---|
| Address | 20 Medical Village Dr, Edgewood, Kentucky |
| Phone Number | 8593411011 |
| Fax Number | 8593417198 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1972576098 |
|---|---|
| Provider Enumeration Date | 2006-02-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20 Medical Village Dr |
|---|---|
| City | Edgewood |
| State | Kentucky (KY) |
| Post Code | 410175401 |
| Phone Number | 8593411011 |
| Fax Number | 8593417198 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 34229 |
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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 |
|---|---|---|---|
| 7499170002 | CIGNA | ||
| 1202784 | UNITED HEALTH CARE OF OHI | ||
| 2501317 | AETNA | ||
| 175988 | ANTHEM | ||
| 64013543 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Charles Jude Kelly by the Centers for Medicare & Medicaid Services?
The Charles Jude Kelly has been issued the NPI (National Provider Identifier) 1972576098 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Charles Jude Kelly located?
The Charles Jude Kelly is located at 20 Medical Village Dr, Edgewood, KY 410175401.
What is Charles Jude Kelly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles Jude Kelly's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
When was the Charles Jude Kelly's 1972576098 issued?
The Charles Jude Kelly's 1972576098 was issued on 2006-02-09.
As of what date was the information pertaining to Charles Jude Kelly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charles Jude Kelly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.