Edward Kirk Neely in Portola Valley - Pediatric Endocrinology
Edward Kirk Neely - NPI 1710962998
Edward Kirk Neely is a Pediatric Endocrinology in Portola Valley, California. Edward Kirk Neely practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Edward Kirk Neely is 1710962998. The last update date is 2012-05-15.
Edward Kirk Neely's current location address is 576 Cresta Vista Ln, Portola Valley, California. You can contact this provider via phone number 6507235791. The mailing address for Edward Kirk Neely is 576 Cresta Vista Ln, Portola Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Kirk Neely |
|---|---|
| Address | 576 Cresta Vista Ln, Portola Valley, California |
| Phone Number | 6507235791 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710962998 |
|---|---|
| Provider Enumeration Date | 2005-12-12 |
| Last Updated Date | 2012-05-15 |
Provider Mailing Address Detail
| Address | 576 Cresta Vista Ln |
|---|---|
| City | Portola Valley |
| State | California (CA) |
| Post Code | 940287729 |
| Phone Number | 6507235791 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Endocrinology |
|---|---|
| Taxonomy | 2080P0205X |
| Licence No | G55037 |
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Definition: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G550370 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Edward Kirk Neely by the Centers for Medicare & Medicaid Services?
The Edward Kirk Neely has been issued the NPI (National Provider Identifier) 1710962998 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Edward Kirk Neely is geographically located?
The Edward Kirk Neely is physically situated at the following location: 576 Cresta Vista Ln, Portola Valley, CA, 940287729.
What is Edward Kirk Neely's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edward Kirk Neely's area of specialization is Pediatric Endocrinology, and the corresponding taxonomy code that categorizes this field of practice is 2080P0205X.
On what date did the Edward Kirk Neely receive its 1710962998 assignment from the Centers for Medicare & Medicaid Services?
The Edward Kirk Neely was assigned its 1710962998 by the Centers for Medicare & Medicaid Services on 2005-12-12.
As of what date were the details related to Edward Kirk Neely most recently updated or revised?
The information pertaining to Edward Kirk Neely, including its address, specialty, and other relevant details, was last updated or revised on 2012-05-15.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA