Carla Fisher Kelly in Mandeville - Pediatrics
Carla Fisher Kelly - NPI 1508026311
Carla Fisher Kelly is a Pediatrics in Mandeville, Louisiana. Carla Fisher Kelly practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Carla Fisher Kelly is 1508026311. The last update date is 2012-01-24.
Carla Fisher Kelly's current location address is 104 Oak Aly, Mandeville, Louisiana. You can contact this provider via phone number 2515104016. The mailing address for Carla Fisher Kelly is 104 Oak Aly, Mandeville, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Carla Fisher Kelly |
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Address | 104 Oak Aly, Mandeville, Louisiana |
Phone Number | 2515104016 |
Fax Number | |
Sole Proprietor | Y |
Credentials | P.T. |
NPI Number Detail
NPI Number | 1508026311 |
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Provider Enumeration Date | 2008-06-15 |
Last Updated Date | 2012-01-24 |
Provider Mailing Address Detail
Address | 104 Oak Aly |
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City | Mandeville |
State | Louisiana (LA) |
Post Code | 704713062 |
Phone Number | 2515104016 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 2251P0200X |
Licence No | 3723 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique provider identifier assigned to Carla Fisher Kelly?
The Carla Fisher Kelly has been issued the NPI (National Provider Identifier) 1508026311 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Carla Fisher Kelly located?
The Carla Fisher Kelly is located at 104 Oak Aly, Mandeville, LA 704713062.
What is the Carla Fisher Kelly's area of specialization and corresponding taxonomy classification?
The Carla Fisher Kelly's specialty field is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their specialties.
When did the Carla Fisher Kelly receive its 1508026311?
The Carla Fisher Kelly was issued its 1508026311 on 2008-06-15, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Carla Fisher Kelly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Carla Fisher Kelly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-24.
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