Norman Ray Kelley in Omaha - Adolescent Medicine

Norman Ray Kelley - NPI 1821017625

Norman Ray Kelley is a Adolescent Medicine in Omaha, Nebraska. Norman Ray Kelley practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Norman Ray Kelley is 1821017625. The last update date is 2023-03-07.

Norman Ray Kelley's current location address is 11330 Q St, Omaha, Nebraska. You can contact this provider via phone number 4026601549 and fax number 4025043496. The mailing address for Norman Ray Kelley is 11330 Q St, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Norman Ray Kelley
Address 11330 Q St, Omaha, Nebraska
Phone Number 4026601549
Fax Number 4025043496
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1821017625
Provider Enumeration Date 2006-07-19
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 11330 Q St
City Omaha
State Nebraska (NE)
Post Code 681373679
Phone Number 4026601549
Fax Number 4025043496

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 20323
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
268399 NE MR CODE
47073897408 NE MD#ALTID 4

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FAQs about Norman Ray Kelley

What is the unique identifier code issued to Norman Ray Kelley by the Centers for Medicare & Medicaid Services?

The Norman Ray Kelley has been assigned the NPI (National Provider Identifier) 1821017625. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Norman Ray Kelley is geographically located?

The Norman Ray Kelley is physically situated at the following location: 11330 Q St, Omaha, NE, 681373679.

What is Norman Ray Kelley's specialized field of practice, and what is the corresponding taxonomy classification code?

The Norman Ray Kelley's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.

When was the Norman Ray Kelley's 1821017625 issued?

The Norman Ray Kelley's 1821017625 was issued on 2006-07-19.

When was the information pertaining to Norman Ray Kelley most recently updated or revised?

The details related to Norman Ray Kelley, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.

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