Susan Staba Kelly in Orlando - Pediatric Hematology-oncology
Susan Staba Kelly - NPI 1235170242
Susan Staba Kelly is a Pediatric Hematology-oncology in Orlando, Florida. Susan Staba Kelly practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for Susan Staba Kelly is 1235170242. The last update date is 2017-03-29.
Susan Staba Kelly's current location address is 2501 N Orange Ave, Orlando, Florida. You can contact this provider via phone number 4073031300 and fax number 4073031301. The mailing address for Susan Staba Kelly is 2501 N Orange Ave, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Staba Kelly |
|---|---|
| Address | 2501 N Orange Ave, Orlando, Florida |
| Phone Number | 4073031300 |
| Fax Number | 4073031301 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235170242 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2017-03-29 |
Provider Mailing Address Detail
| Address | 2501 N Orange Ave |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328044603 |
| Phone Number | 4073031300 |
| Fax Number | 4073031301 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Hematology-oncology |
|---|---|
| Taxonomy | 2080P0207X |
| Licence No | ME79161 |
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Definition: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
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What is the unique 10-digit identification code issued to Susan Staba Kelly by the Centers for Medicare & Medicaid Services?
The Susan Staba Kelly has been assigned the NPI (National Provider Identifier) 1235170242 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Susan Staba Kelly?
The Susan Staba Kelly is physically situated at 2501 N Orange Ave, in the city of Orlando, state of FL, with the postal code 328044603.
What is Susan Staba Kelly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susan Staba Kelly's specialized field of practice is Pediatric Hematology-oncology, and the corresponding taxonomy code that categorizes this area of specialization is 2080P0207X.
When was the Susan Staba Kelly's 1235170242 issued?
The Susan Staba Kelly's 1235170242 was issued on 2006-06-09.
When was the information regarding Susan Staba Kelly most recently updated?
The details pertaining to the Susan Staba Kelly, including its address, specialty, and other relevant information, were last refreshed on 2017-03-29.