Larry W Kelly is a Pediatrics in Pawleys Island, South Carolina. Larry W Kelly practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Larry W Kelly is 1194727628. The last update date is 2015-04-21.
Larry W Kelly's current location address is 64 Business Center Dr, Pawleys Island, South Carolina. You can contact this provider via phone number 8433141314 and fax number 8433141307. The mailing address for Larry W Kelly is 64 Business Center Dr, Pawleys Island, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry W Kelly |
|---|---|
| Address | 64 Business Center Dr, Pawleys Island, South Carolina |
| Phone Number | 8433141314 |
| Fax Number | 8433141307 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194727628 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2015-04-21 |
Provider Mailing Address Detail
| Address | 64 Business Center Dr |
|---|---|
| City | Pawleys Island |
| State | South Carolina (SC) |
| Post Code | 295857963 |
| Phone Number | 8433141314 |
| Fax Number | 8433141307 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 20643 |
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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 |
|---|---|---|---|
| T47633 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Larry W Kelly by the Centers for Medicare & Medicaid Services?
The Larry W Kelly has been assigned the NPI (National Provider Identifier) 1194727628. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Larry W Kelly?
The Larry W Kelly is situated at 64 Business Center Dr, in the city of Pawleys Island, state of SC, with the zip code 295857963.
What is Larry W Kelly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larry W Kelly'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 issue the 1194727628 to Larry W Kelly?
The Larry W Kelly received its 1194727628 assignment from the Centers for Medicare & Medicaid Services on 2005-08-15.
When was the information regarding Larry W Kelly most recently updated?
The details pertaining to the Larry W Kelly, including its address, specialty, and other relevant information, were last refreshed on 2015-04-21.
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