Jill S Kelly in Brentwood - Pediatrics

Jill S Kelly - NPI 1720168354

Jill S Kelly is a Pediatrics in Brentwood, Tennessee. Jill S Kelly practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jill S Kelly is 1720168354. The last update date is 2022-04-05.

Jill S Kelly's current location address is 343 Franklin Rd Ste 106, Brentwood, Tennessee. You can contact this provider via phone number 6158144500 and fax number 6158144501. The mailing address for Jill S Kelly is 343 Franklin Rd Ste 106, Brentwood, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill S Kelly
Address 343 Franklin Rd Ste 106, Brentwood, Tennessee
Phone Number 6158144500
Fax Number 6158144501
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1720168354
Provider Enumeration Date 2006-10-17
Last Updated Date 2022-04-05

Provider Mailing Address Detail

Address 343 Franklin Rd Ste 106
City Brentwood
State Tennessee (TN)
Post Code 370275250
Phone Number 6158144500
Fax Number 6158144501

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 036-121019
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
920540 IL MEDICARE PTAN GROUP
36121179 IL --
F400215043 IL MEDICARE PTAN INDIVIDUAL

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FAQs about Jill S Kelly

What is the unique 10-digit identifier code issued to Jill S Kelly by the Centers for Medicare & Medicaid Services?

The Jill S Kelly has been assigned the NPI (National Provider Identifier) 1720168354 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Jill S Kelly is physically located?

The Jill S Kelly is physically situated at the following address: 343 Franklin Rd Ste 106, Brentwood, TN, 370275250.

What is the area of specialization for Jill S Kelly, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jill S Kelly is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date was the 1720168354 assigned to Jill S Kelly?

The Jill S Kelly was issued its 1720168354 on 2006-10-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Jill S Kelly most recently updated or revised?

The information pertaining to Jill S Kelly, including its address, specialty, and other relevant details, was last updated or revised on 2022-04-05.

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