Dwain E Kelley in Overland Park - Physical Therapist

Dwain E Kelley - NPI 1972762714

Dwain E Kelley is a Physical Therapist in Overland Park, Kansas. Dwain E Kelley practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Dwain E Kelley is 1972762714. The last update date is 2008-06-06.

Dwain E Kelley's current location address is 10300 W 103rd St, Overland Park, Kansas. You can contact this provider via phone number 9138941910. The mailing address for Dwain E Kelley is 10300 W 103rd St, Overland Park, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Dwain E Kelley
Address 10300 W 103rd St, Overland Park, Kansas
Phone Number 9138941910
Fax Number
Sole Proprietor Y
Credentials PT

NPI Number Detail

NPI Number 1972762714
Provider Enumeration Date 2008-06-06
Last Updated Date 2008-06-06

Provider Mailing Address Detail

Address 10300 W 103rd St
City Overland Park
State Kansas (KS)
Post Code 66212
Phone Number 9138941910
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No R1062
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11-01441 KS STATE PT LICENSE
R1062 MO STATE PT LICENSE

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FAQs about Dwain E Kelley

What is the unique identifier code issued to Dwain E Kelley by the Centers for Medicare & Medicaid Services?

The Dwain E Kelley has been assigned the NPI (National Provider Identifier) 1972762714. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Dwain E Kelley?

The Dwain E Kelley is situated at 10300 W 103Rd St, in the city of Overland Park, state of KS, with the zip code 66212.

What is the area of specialization for Dwain E Kelley, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dwain E Kelley 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 1972762714 to Dwain E Kelley?

The Dwain E Kelley received its 1972762714 assignment from the Centers for Medicare & Medicaid Services on 2008-06-06.

As of what date were the Dwain E Kelley's details last updated?

The information pertaining to the Dwain E Kelley, including its address, specialty, and other details, was most recently updated on 2008-06-06.

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