Kellie L Mathis in Rochester - Colon & Rectal Surgery
Kellie L Mathis - NPI 1770563975
Kellie L Mathis is a Colon & Rectal Surgery in Rochester, Minnesota. Kellie L Mathis practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Kellie L Mathis is 1770563975. The last update date is 2020-08-18.
Kellie L Mathis's current location address is 200 1st St Sw, Rochester, Minnesota. You can contact this provider via phone number 5072842511. The mailing address for Kellie L Mathis is 200 1st St Sw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellie L Mathis |
|---|---|
| Address | 200 1st St Sw, Rochester, Minnesota |
| Phone Number | 5072842511 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770563975 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2020-08-18 |
Provider Mailing Address Detail
| Address | 200 1st St Sw |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559050001 |
| Phone Number | 5072842511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | 46790 |
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Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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What is the unique identifier code issued to Kellie L Mathis by the Centers for Medicare & Medicaid Services?
The Kellie L Mathis has been assigned the NPI (National Provider Identifier) 1770563975. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kellie L Mathis?
The Kellie L Mathis is situated at 200 1St St Sw, in the city of Rochester, state of MN, with the zip code 559050001.
What is Kellie L Mathis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kellie L Mathis's area of specialization is Colon & Rectal Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208C00000X.
When did Kellie L Mathis receive its 1770563975 assignment?
The Kellie L Mathis was assigned its 1770563975 on 2006-01-23, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kellie L Mathis most recently updated or revised?
The details related to Kellie L Mathis, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-18.
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