Kevin Joseph Staley in Charlestown - Neurology With Special Qualifications In Child Neurology
Kevin Joseph Staley - NPI 1679512065
Kevin Joseph Staley is a Neurology With Special Qualifications In Child Neurology in Charlestown, Massachusetts. Kevin Joseph Staley practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Kevin Joseph Staley is 1679512065. The last update date is 2012-12-26.
Kevin Joseph Staley's current location address is 3 Shipway Pl, Charlestown, Massachusetts. You can contact this provider via phone number 6176430363 and fax number 6176430141. The mailing address for Kevin Joseph Staley is 3 Shipway Pl, Charlestown, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Joseph Staley |
|---|---|
| Address | 3 Shipway Pl, Charlestown, Massachusetts |
| Phone Number | 6176430363 |
| Fax Number | 6176430141 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679512065 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2012-12-26 |
Provider Mailing Address Detail
| Address | 3 Shipway Pl |
|---|---|
| City | Charlestown |
| State | Massachusetts (MA) |
| Post Code | 21294301 |
| Phone Number | 6176430363 |
| Fax Number | 6176430141 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology With Special Qualifications In Child Neurology |
|---|---|
| Taxonomy | 2084N0402X |
| Licence No | 230011 |
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Definition: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kevin Joseph Staley?
The Kevin Joseph Staley has been issued the NPI (National Provider Identifier) 1679512065 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kevin Joseph Staley?
The Kevin Joseph Staley is situated at 3 Shipway Pl, in the city of Charlestown, state of MA, with the zip code 21294301.
What is Kevin Joseph Staley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin Joseph Staley's area of specialization is Neurology With Special Qualifications In Child Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0402X.
On what date did the Kevin Joseph Staley receive its 1679512065 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Joseph Staley was assigned its 1679512065 by the Centers for Medicare & Medicaid Services on 2006-06-04.
When was the information pertaining to Kevin Joseph Staley most recently updated or revised?
The details related to Kevin Joseph Staley, including its address, specialty, and other relevant information, were last updated or revised on 2012-12-26.
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