Kelly Ann Shine is a Surgery in Frederick, Maryland. Kelly Ann Shine practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kelly Ann Shine is 1477522472. The last update date is 2013-07-01.
Kelly Ann Shine's current location address is 74 Thomas Johnson Dr, Frederick, Maryland. You can contact this provider via phone number 3016943200 and fax number 3016625288. The mailing address for Kelly Ann Shine is 74 Thomas Johnson Dr, Frederick, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Ann Shine |
|---|---|
| Address | 74 Thomas Johnson Dr, Frederick, Maryland |
| Phone Number | 3016943200 |
| Fax Number | 3016625288 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477522472 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2013-07-01 |
Provider Mailing Address Detail
| Address | 74 Thomas Johnson Dr |
|---|---|
| City | Frederick |
| State | Maryland (MD) |
| Post Code | 217024300 |
| Phone Number | 3016943200 |
| Fax Number | 3016625288 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | D0060209 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Post Comment/ Review Below
What is the unique identifier code issued to Kelly Ann Shine by the Centers for Medicare & Medicaid Services?
The Kelly Ann Shine has been assigned the NPI (National Provider Identifier) 1477522472. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kelly Ann Shine's physical address?
The Kelly Ann Shine is physically located at 74 Thomas Johnson Dr, in the city of Frederick, MD, with the postal code 217024300.
What is Kelly Ann Shine's area of expertise and its corresponding taxonomy classification?
The Kelly Ann Shine's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date did Kelly Ann Shine receive its 1477522472 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Ann Shine was assigned its 1477522472 on 2006-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kelly Ann Shine most recently updated or refreshed?
The details pertaining to the Kelly Ann Shine, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-07-01.