Kelly Allan Gomez in Provo - Podiatrist

Kelly Allan Gomez - NPI 1821021957

Kelly Allan Gomez is a Podiatrist in Provo, Utah. Kelly Allan Gomez practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Kelly Allan Gomez is 1821021957. The last update date is 2015-01-14.

Kelly Allan Gomez's current location address is 777 N 500 W, Provo, Utah. You can contact this provider via phone number 8013756677 and fax number 8013750346. The mailing address for Kelly Allan Gomez is 777 N 500 W, Provo, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Allan Gomez
Address 777 N 500 W, Provo, Utah
Phone Number 8013756677
Fax Number 8013750346
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1821021957
Provider Enumeration Date 2006-07-09
Last Updated Date 2015-01-14

Provider Mailing Address Detail

Address 777 N 500 W
City Provo
State Utah (UT)
Post Code 84601
Phone Number 8013756677
Fax Number 8013750346

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 367951
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
64004 UT MEDICARE PTAN #

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FAQs about Kelly Allan Gomez

What is the unique identifier code issued to Kelly Allan Gomez by the Centers for Medicare & Medicaid Services (CMS)?

The Kelly Allan Gomez has been assigned the NPI (National Provider Identifier) 1821021957. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Kelly Allan Gomez located?

The Kelly Allan Gomez is located at 777 N 500 W, Provo, UT 84601.

What is Kelly Allan Gomez's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kelly Allan Gomez is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.

When was the Kelly Allan Gomez's 1821021957 issued?

The Kelly Allan Gomez's 1821021957 was issued on 2006-07-09.

When was the information regarding Kelly Allan Gomez, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kelly Allan Gomez, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-01-14.

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