Neil R Kelley in Fortuna - Podiatrist

Neil R Kelley - NPI 1437184025

Neil R Kelley is a Podiatrist in Fortuna, California. Neil R Kelley practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Neil R Kelley is 1437184025. The last update date is 2014-03-27.

Neil R Kelley's current location address is 1730 Main St, Fortuna, California. You can contact this provider via phone number 7077255223 and fax number 7077252756. The mailing address for Neil R Kelley is 1730 Main St, Fortuna, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Neil R Kelley
Address 1730 Main St, Fortuna, California
Phone Number 7077255223
Fax Number 7077252756
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1437184025
Provider Enumeration Date 2006-07-11
Last Updated Date 2014-03-27

Provider Mailing Address Detail

Address 1730 Main St
City Fortuna
State California (CA)
Post Code 955402451
Phone Number 7077255223
Fax Number 7077252756

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 000E23210
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GRE001770 CA --
ZZZ64278Z CA BLUE SHIELD
201857499 CA BLUE CROSS

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FAQs about Neil R Kelley

What is the unique 10-digit identification code assigned to Neil R Kelley by the Centers for Medicare & Medicaid Services?

The Neil R Kelley has been issued the NPI (National Provider Identifier) 1437184025, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Neil R Kelley is physically located?

The Neil R Kelley is physically situated at the following address: 1730 Main St, Fortuna, CA, 955402451.

What is Neil R Kelley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Neil R Kelley is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1437184025 to Neil R Kelley?

The Neil R Kelley received its 1437184025 assignment from the Centers for Medicare & Medicaid Services on 2006-07-11.

When was the information related to Neil R Kelley most recently updated or refreshed?

The details pertaining to the Neil R Kelley, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-03-27.

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