Kelly B Fandel is a Pediatrics in St Cloud, Minnesota. Kelly B Fandel practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelly B Fandel is 1487699179. The last update date is 2008-08-27.
Kelly B Fandel's current location address is 1900 Centracare Circle, St Cloud, Minnesota. You can contact this provider via phone number 3206543630. The mailing address for Kelly B Fandel is 1900 Centracare Circle, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly B Fandel |
|---|---|
| Address | 1900 Centracare Circle, St Cloud, Minnesota |
| Phone Number | 3206543630 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487699179 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2008-08-27 |
Provider Mailing Address Detail
| Address | 1900 Centracare Circle |
|---|---|
| City | St Cloud |
| State | Minnesota (MN) |
| Post Code | 563035000 |
| Phone Number | 3206543630 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 40924 |
|
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 |
|---|---|---|---|
| 372219800 | MN | -- |
Post Comment/ Review Below
What is the Kelly B Fandel's unique identification number?
The Kelly B Fandel has been assigned the NPI (National Provider Identifier) Number 1487699179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kelly B Fandel is located?
The Kelly B Fandel is situated at the following address: 1900 Centracare Circle, St Cloud, MN, 563035000.
What is the area of specialization for Kelly B Fandel, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly B Fandel is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
When did Kelly B Fandel receive its 1487699179 assignment?
The Kelly B Fandel was assigned its 1487699179 on 2006-06-18, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kelly B Fandel most recently updated?
The details pertaining to the Kelly B Fandel, including its address, specialty, and other relevant information, were last refreshed on 2008-08-27.
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