Edward Kelly is a Podiatrist in Casa Grande, Arizona. Edward Kelly practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Edward Kelly is 1679569651. The last update date is 2008-12-11.
Edward Kelly's current location address is 1760 E Florence Blvd, Casa Grande, Arizona. You can contact this provider via phone number 5208364868 and fax number 5208360759. The mailing address for Edward Kelly is 1760 E Florence Blvd, Casa Grande, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Kelly |
|---|---|
| Address | 1760 E Florence Blvd, Casa Grande, Arizona |
| Phone Number | 5208364868 |
| Fax Number | 5208360759 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1679569651 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2008-12-11 |
Provider Mailing Address Detail
| Address | 1760 E Florence Blvd |
|---|---|
| City | Casa Grande |
| State | Arizona (AZ) |
| Post Code | 852224764 |
| Phone Number | 5208364868 |
| Fax Number | 5208360759 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 447 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AZ0193380 | AZ | BLUE CROSS BLUE SHIELD | |
| 189705000 | AZ | DEPARTMENT OF LABOR | |
| 480027517 | AZ | RAILROAD MEDICARE | |
| 357774 | AZ | -- |
Post Comment/ Review Below
What is the Edward Kelly's unique identification number?
The Edward Kelly has been assigned the NPI (National Provider Identifier) Number 1679569651 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Edward Kelly's facilities are situated?
The facilities of Edward Kelly are physically located at the following address: 1760 E Florence Blvd, Casa Grande, AZ, 852224764.
What is Edward Kelly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edward Kelly is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did Edward Kelly receive its 1679569651 assignment from the Centers for Medicare & Medicaid Services?
The Edward Kelly was assigned its 1679569651 on 2005-09-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Edward Kelly's information last updated?
The Edward Kelly's information was last updated on 2008-12-11.