Andrew Edward Kelly in San Rafael - Physical Therapist
Andrew Edward Kelly - NPI 1871593004
Andrew Edward Kelly is a Physical Therapist in San Rafael, California. Andrew Edward Kelly practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Andrew Edward Kelly is 1871593004. The last update date is 2007-07-11.
Andrew Edward Kelly's current location address is 165 N Redwood Dr, San Rafael, California. You can contact this provider via phone number 4154990278 and fax number 4154990297. The mailing address for Andrew Edward Kelly is 165 N Redwood Dr, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Edward Kelly |
|---|---|
| Address | 165 N Redwood Dr, San Rafael, California |
| Phone Number | 4154990278 |
| Fax Number | 4154990297 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1871593004 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 165 N Redwood Dr |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949031970 |
| Phone Number | 4154990278 |
| Fax Number | 4154990297 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 15707 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OPT15707 | CA | BLUE SHIELD IND PROV NO | |
| ZZZ64636Z | CA | BLUE SHIELD GROUP NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Andrew Edward Kelly by the Centers for Medicare & Medicaid Services?
The Andrew Edward Kelly has been assigned the NPI (National Provider Identifier) 1871593004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Andrew Edward Kelly is physically located?
The Andrew Edward Kelly is physically situated at the following address: 165 N Redwood Dr, San Rafael, CA, 949031970.
What is the area of specialization for Andrew Edward Kelly, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Andrew Edward Kelly is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871593004 to Andrew Edward Kelly?
The Andrew Edward Kelly received its 1871593004 assignment from the Centers for Medicare & Medicaid Services on 2005-07-29.
As of what date was the information regarding Andrew Edward Kelly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Andrew Edward Kelly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-11.
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