Kelly Blue in Redlands - Child & Adolescent Psychiatry
Kelly Blue - NPI 1386849339
Kelly Blue is a Child & Adolescent Psychiatry in Redlands, California. Kelly Blue practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Kelly Blue is 1386849339. The last update date is 2007-07-08.
Kelly Blue's current location address is 312 Brookside Ave, Redlands, California. You can contact this provider via phone number 9093079663. The mailing address for Kelly Blue is 312 Brookside Ave, Redlands, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Blue |
|---|---|
| Address | 312 Brookside Ave, Redlands, California |
| Phone Number | 9093079663 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386849339 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 312 Brookside Ave |
|---|---|
| City | Redlands |
| State | California (CA) |
| Post Code | 923734608 |
| Phone Number | 9093079663 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | G084831 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Post Comment/ Review Below
What is the unique identifier code issued to Kelly Blue by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly Blue has been assigned the NPI (National Provider Identifier) 1386849339. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Kelly Blue's facilities are situated?
The facilities of Kelly Blue are physically located at the following address: 312 Brookside Ave, Redlands, CA, 923734608.
What is Kelly Blue's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly Blue is Child & Adolescent Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0804X.
On what date was the 1386849339 assigned to Kelly Blue?
The Kelly Blue was issued its 1386849339 on 2007-06-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kelly Blue, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly Blue, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.