Kelly Bossola is a Pediatrics in Coraopolis, Pennsylvania. Kelly Bossola practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelly Bossola is 1811177322. The last update date is 2007-11-13.
Kelly Bossola's current location address is 401 Locust St, Coraopolis, Pennsylvania. You can contact this provider via phone number 4122990704. The mailing address for Kelly Bossola is 401 Locust St, Coraopolis, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Bossola |
|---|---|
| Address | 401 Locust St, Coraopolis, Pennsylvania |
| Phone Number | 4122990704 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1811177322 |
|---|---|
| Provider Enumeration Date | 2007-11-13 |
| Last Updated Date | 2007-11-13 |
Provider Mailing Address Detail
| Address | 401 Locust St |
|---|---|
| City | Coraopolis |
| State | Pennsylvania (PA) |
| Post Code | 151083954 |
| Phone Number | 4122990704 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT016522 |
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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 identification code assigned to Kelly Bossola by the Centers for Medicare & Medicaid Services?
The Kelly Bossola has been issued the NPI (National Provider Identifier) 1811177322. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kelly Bossola's facilities are geographically located?
The facilities of Kelly Bossola are physically situated at the following location: 401 Locust St, Coraopolis, PA, 151083954.
What is Kelly Bossola's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly Bossola is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811177322 to Kelly Bossola?
The Centers for Medicare & Medicaid Services originally issued the 1811177322 to Kelly Bossola on 2007-11-13.
When was the Kelly Bossola's information last updated?
The Kelly Bossola's information was last updated on 2007-11-13.