Edward F Kellenberger in Port St Lucie - Neurology
Edward F Kellenberger - NPI 1487817904
Edward F Kellenberger is a Neurology in Port St Lucie, Florida. Edward F Kellenberger practices all healthcare services and medical treatments related to Neurology. The NPI Number for Edward F Kellenberger is 1487817904. The last update date is 2020-10-15.
Edward F Kellenberger's current location address is 10050 Sw Innovation Way Ste 102, Port St Lucie, Florida. You can contact this provider via phone number 7723443811 and fax number 7723352422. The mailing address for Edward F Kellenberger is 10050 Sw Innovation Way Ste 102, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward F Kellenberger |
|---|---|
| Address | 10050 Sw Innovation Way Ste 102, Port St Lucie, Florida |
| Phone Number | 7723443811 |
| Fax Number | 7723352422 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487817904 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2020-10-15 |
Provider Mailing Address Detail
| Address | 10050 Sw Innovation Way Ste 102 |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349872117 |
| Phone Number | 7723443811 |
| Fax Number | 7723352422 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | ME120630 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12834800 | FL | -- | |
| P01366910 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Edward F Kellenberger?
The Edward F Kellenberger has been issued the NPI (National Provider Identifier) 1487817904 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Edward F Kellenberger's facilities are situated?
The facilities of Edward F Kellenberger are physically located at the following address: 10050 Sw Innovation Way Ste 102, Port St Lucie, FL, 349872117.
What is Edward F Kellenberger's area of expertise and its corresponding taxonomy classification?
The Edward F Kellenberger's field of specialization is Neurology, and it falls under the taxonomy code 2084N0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1487817904 to Edward F Kellenberger?
The Centers for Medicare & Medicaid Services assigned the 1487817904 to Edward F Kellenberger on 2008-07-03.
When was the information pertaining to Edward F Kellenberger most recently updated or revised?
The details related to Edward F Kellenberger, including its address, specialty, and other relevant information, were last updated or revised on 2020-10-15.
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