Kellee A Street in Roseville - Pediatric Emergency Medicine

Kellee A Street - NPI 1063599181

Kellee A Street is a Pediatric Emergency Medicine in Roseville, Minnesota. Kellee A Street practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Kellee A Street is 1063599181. The last update date is 2007-07-08.

Kellee A Street's current location address is 2910 Centre Pointe Drive, Roseville, Minnesota. You can contact this provider via phone number 6518552327 and fax number 6518552310. The mailing address for Kellee A Street is 2910 Centre Pointe Drive, Roseville, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kellee A Street
Address 2910 Centre Pointe Drive, Roseville, Minnesota
Phone Number 6518552327
Fax Number 6518552310
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1063599181
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2910 Centre Pointe Drive
City Roseville
State Minnesota (MN)
Post Code 55113
Phone Number 6518552327
Fax Number 6518552310

Provider's Primary Taxonomy Detail

Speciality Pediatric Emergency Medicine
Taxonomy 2080P0204X
Licence No 45622
Definition:
A pediatrician who has special qualifications to manage emergencies in infants and children.

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FAQs about Kellee A Street

What is the unique 10-digit identifier code issued to Kellee A Street by the Centers for Medicare & Medicaid Services?

The Kellee A Street has been assigned the NPI (National Provider Identifier) 1063599181 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Kellee A Street is located?

The Kellee A Street is situated at the following address: 2910 Centre Pointe Drive, Roseville, MN, 55113.

What is Kellee A Street's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kellee A Street is Pediatric Emergency Medicine, and the taxonomy code that classifies this field of practice is 2080P0204X.

On what date did the Kellee A Street receive its 1063599181 assignment from the Centers for Medicare & Medicaid Services?

The Kellee A Street was assigned its 1063599181 by the Centers for Medicare & Medicaid Services on 2006-11-01.

As of what date were the Kellee A Street's details last updated?

The information pertaining to the Kellee A Street, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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