Kelly Louise Wooldridge in O Fallon - Pediatrics

Kelly Louise Wooldridge - NPI 1952446684

Kelly Louise Wooldridge is a Pediatrics in O Fallon, Missouri. Kelly Louise Wooldridge practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelly Louise Wooldridge is 1952446684. The last update date is 2007-07-08.

Kelly Louise Wooldridge's current location address is 41 President Dr, O Fallon, Missouri. You can contact this provider via phone number 6363290156. The mailing address for Kelly Louise Wooldridge is 41 President Dr, O Fallon, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Louise Wooldridge
Address 41 President Dr, O Fallon, Missouri
Phone Number 6363290156
Fax Number
Sole Proprietor N
Credentials MPT

NPI Number Detail

NPI Number 1952446684
Provider Enumeration Date 2007-02-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 41 President Dr
City O Fallon
State Missouri (MO)
Post Code 633688526
Phone Number 6363290156
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No 2003016153
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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FAQs about Kelly Louise Wooldridge

What is the Kelly Louise Wooldridge's unique identification number?

The Kelly Louise Wooldridge has been assigned the NPI (National Provider Identifier) Number 1952446684 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Kelly Louise Wooldridge located?

The Kelly Louise Wooldridge is located at 41 President Dr, O Fallon, MO 633688526.

What is the area of specialization for Kelly Louise Wooldridge, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kelly Louise Wooldridge is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 2251P0200X.

When did Kelly Louise Wooldridge receive its 1952446684 assignment?

The Kelly Louise Wooldridge was assigned its 1952446684 on 2007-02-20, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Kelly Louise Wooldridge most recently updated or revised?

The details related to Kelly Louise Wooldridge, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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