Kelly Wade is a Pediatrics in Philadelphia, Pennsylvania. Kelly Wade practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelly Wade is 1811924723. The last update date is 2013-04-17.
Kelly Wade's current location address is 100 E Penn Sq, Philadelphia, Pennsylvania. You can contact this provider via phone number 2674259232 and fax number 2674259299. The mailing address for Kelly Wade is 100 E Penn Sq, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Wade |
|---|---|
| Address | 100 E Penn Sq, Philadelphia, Pennsylvania |
| Phone Number | 2674259232 |
| Fax Number | 2674259299 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811924723 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2013-04-17 |
Provider Mailing Address Detail
| Address | 100 E Penn Sq |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191073323 |
| Phone Number | 2674259232 |
| Fax Number | 2674259299 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD073505L |
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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 |
|---|---|---|---|
| 1010911740001 | PA | -- | |
| 32905 | NJ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kelly Wade by the Centers for Medicare & Medicaid Services?
The Kelly Wade has been issued the NPI (National Provider Identifier) 1811924723. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly Wade located?
The Kelly Wade is located at 100 E Penn Sq, Philadelphia, PA 191073323.
What is Kelly Wade's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly Wade's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811924723 to Kelly Wade?
The Centers for Medicare & Medicaid Services originally issued the 1811924723 to Kelly Wade on 2006-06-27.
As of what date were the Kelly Wade's details last updated?
The information pertaining to the Kelly Wade, including its address, specialty, and other details, was most recently updated on 2013-04-17.