Mark J Kelly Md, Inc in Santa Monica - Urology
Mark J Kelly Md, Inc - NPI 1598827826
Mark J Kelly Md, Inc is a Urology in Santa Monica, California. Mark J Kelly Md, Inc practices all healthcare services and medical treatments related to Urology. The NPI Number for Mark J Kelly Md, Inc is 1598827826. The last update date is 2008-09-26.
Mark J Kelly Md, Inc's current location address is 2001 Santa Monica Blvd, Santa Monica, California. You can contact this provider via phone number 3108290039 and fax number 3108281791. The mailing address for Mark J Kelly Md, Inc is 2001 Santa Monica Blvd, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark J Kelly Md, Inc |
|---|---|
| Address | 2001 Santa Monica Blvd, Santa Monica, California |
| Phone Number | 3108290039 |
| Fax Number | 3108281791 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Kelly Mark |
| Credentials | MD |
| Telephone Number | 3108290039 |
NPI Number Detail
| NPI Number | 1598827826 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2008-09-26 |
Provider Mailing Address Detail
| Address | 2001 Santa Monica Blvd |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904042102 |
| Phone Number | 3108290039 |
| Fax Number | 3108281791 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | G55252 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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What is the unique 10-digit identifier code issued to Mark J Kelly Md, Inc by the Centers for Medicare & Medicaid Services?
The Mark J Kelly Md, Inc has been assigned the NPI (National Provider Identifier) 1598827826 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Mark J Kelly Md, Inc is physically located?
The Mark J Kelly Md, Inc is situated at the following address: 2001 Santa Monica Blvd, Santa Monica, CA 904042102.
What is the Mark J Kelly Md, Inc's specialty and taxonomy code?
The Mark J Kelly Md, Inc's specialty is Urology, and the corresponding taxonomy code is 208800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598827826 to Mark J Kelly Md, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1598827826 to Mark J Kelly Md, Inc on 2006-12-14.
When was the Mark J Kelly Md, Inc's information last updated?
The Mark J Kelly Md, Inc's information was last updated on 2008-09-26.