Kelly D Ferrell in Fort Wayne - Diagnostic Radiology

Kelly D Ferrell - NPI 1538111018

Kelly D Ferrell is a Diagnostic Radiology in Fort Wayne, Indiana. Kelly D Ferrell practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kelly D Ferrell is 1538111018. The last update date is 2007-07-08.

Kelly D Ferrell's current location address is 3707 New Vision Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604719466 and fax number 2604845919. The mailing address for Kelly D Ferrell is 3707 New Vision Dr, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly D Ferrell
Address 3707 New Vision Dr, Fort Wayne, Indiana
Phone Number 2604719466
Fax Number 2604845919
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1538111018
Provider Enumeration Date 2006-05-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3707 New Vision Dr
City Fort Wayne
State Indiana (IN)
Post Code 468451702
Phone Number 2604719466
Fax Number 2604845919

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 1036124
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
92604 IN ANTHEM

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FAQs about Kelly D Ferrell

What is the unique provider identifier assigned to Kelly D Ferrell?

The Kelly D Ferrell has been issued the NPI (National Provider Identifier) 1538111018 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Kelly D Ferrell is physically located?

The Kelly D Ferrell is physically situated at the following address: 3707 New Vision Dr, Fort Wayne, IN, 468451702.

What is Kelly D Ferrell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kelly D Ferrell's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

When was the Kelly D Ferrell's 1538111018 issued?

The Kelly D Ferrell's 1538111018 was issued on 2006-05-16.

When was the information related to Kelly D Ferrell most recently updated or refreshed?

The details pertaining to the Kelly D Ferrell, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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