Laurence Connelley in Little Rock - Podiatrist

Laurence Connelley - NPI 1962616227

Laurence Connelley is a Podiatrist in Little Rock, Arkansas. Laurence Connelley practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Laurence Connelley is 1962616227. The last update date is 2008-06-24.

Laurence Connelley's current location address is 10020 W Markham St, Little Rock, Arkansas. You can contact this provider via phone number 5012212266 and fax number 5012245660. The mailing address for Laurence Connelley is 10020 W Markham St, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Laurence Connelley
Address 10020 W Markham St, Little Rock, Arkansas
Phone Number 5012212266
Fax Number 5012245660
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SOLE PROPR
Authorized Official Name Connelley Kenneth Laurence
Credentials D.P.M.
Telephone Number 5012212266

NPI Number Detail

NPI Number 1962616227
Provider Enumeration Date 2007-05-09
Last Updated Date 2008-06-24

Provider Mailing Address Detail

Address 10020 W Markham St
City Little Rock
State Arkansas (AR)
Post Code 722052130
Phone Number 5012212266
Fax Number 5012245660

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 59
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
104333717 AR --
128479748 AR --
480015481 AR RAILROAD MEDICARE

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FAQs about Laurence Connelley

What is the unique 10-digit identification code assigned to Laurence Connelley by the Centers for Medicare & Medicaid Services?

The Laurence Connelley has been issued the NPI (National Provider Identifier) 1962616227, 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 Laurence Connelley is physically located?

The Laurence Connelley is physically situated at the following address: 10020 W Markham St, Little Rock, AR, 722052130.

What is the Laurence Connelley's specialty and taxonomy code?

The Laurence Connelley's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.

On what date did Laurence Connelley receive its 1962616227 assignment from the Centers for Medicare & Medicaid Services?

The Laurence Connelley was assigned its 1962616227 on 2007-05-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Laurence Connelley most recently updated?

The details pertaining to the Laurence Connelley, including its address, specialty, and other relevant information, were last refreshed on 2008-06-24.

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