Kelly L. Geoghan in Lutherville - Podiatrist

Kelly L. Geoghan - NPI 1932100153

Kelly L. Geoghan is a Podiatrist in Lutherville, Maryland. Kelly L. Geoghan practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Kelly L. Geoghan is 1932100153. The last update date is 2013-05-16.

Kelly L. Geoghan's current location address is 1447 York Road, Lutherville, Maryland. You can contact this provider via phone number 4107534422 and fax number 4107534660. The mailing address for Kelly L. Geoghan is 1447 York Road, Lutherville, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly L. Geoghan
Address 1447 York Road, Lutherville, Maryland
Phone Number 4107534422
Fax Number 4107534660
Sole Proprietor Y
Credentials D.P.M.

NPI Number Detail

NPI Number 1932100153
Provider Enumeration Date 2005-08-10
Last Updated Date 2013-05-16

Provider Mailing Address Detail

Address 1447 York Road
City Lutherville
State Maryland (MD)
Post Code 210936097
Phone Number 4107534422
Fax Number 4107534660

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 1285
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
6614180001 MD MEDICARE DMEPOS
CDJ4KL 758639- MD CAREFIRST
CDJ4KL 758639- MD CAREFIRST
Y410-0001 DC CAREFIRST

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FAQs about Kelly L. Geoghan

What is the unique identification code assigned to Kelly L. Geoghan by the Centers for Medicare & Medicaid Services?

The Kelly L. Geoghan has been issued the NPI (National Provider Identifier) 1932100153. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Kelly L. Geoghan?

The Kelly L. Geoghan is situated at 1447 York Road, in the city of Lutherville, state of MD, with the zip code 210936097.

What is Kelly L. Geoghan'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 Kelly L. Geoghan is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1932100153 to Kelly L. Geoghan?

The Kelly L. Geoghan received its 1932100153 assignment from the Centers for Medicare & Medicaid Services on 2005-08-10.

As of what date were the details pertaining to Kelly L. Geoghan last refreshed?

The information related to the Kelly L. Geoghan, including its address, specialty, and other relevant details, was last updated on 2013-05-16.

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