Kelley N Johannes in Spartanburg - Pediatrics
Kelley N Johannes - NPI 1932250016
Kelley N Johannes is a Pediatrics in Spartanburg, South Carolina. Kelley N Johannes practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelley N Johannes is 1932250016. The last update date is 2019-12-26.
Kelley N Johannes's current location address is 2400 Winchester Pl Ste 102b, Spartanburg, South Carolina. You can contact this provider via phone number 8645747282 and fax number 8645747664. The mailing address for Kelley N Johannes is 2400 Winchester Pl Ste 102b, Spartanburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley N Johannes |
|---|---|
| Address | 2400 Winchester Pl Ste 102b, Spartanburg, South Carolina |
| Phone Number | 8645747282 |
| Fax Number | 8645747664 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1932250016 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2019-12-26 |
Provider Mailing Address Detail
| Address | 2400 Winchester Pl Ste 102b |
|---|---|
| City | Spartanburg |
| State | South Carolina (SC) |
| Post Code | 293011518 |
| Phone Number | 8645747282 |
| Fax Number | 8645747664 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 10792 |
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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 10-digit identification code issued to Kelley N Johannes by the Centers for Medicare & Medicaid Services?
The Kelley N Johannes has been assigned the NPI (National Provider Identifier) 1932250016 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kelley N Johannes's physical address?
The Kelley N Johannes is physically located at 2400 Winchester Pl Ste 102B, in the city of Spartanburg, SC, with the postal code 293011518.
What is the area of specialization for Kelley N Johannes, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelley N Johannes is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932250016 to Kelley N Johannes?
The Kelley N Johannes received its 1932250016 assignment from the Centers for Medicare & Medicaid Services on 2007-01-15.
When was the information regarding Kelley N Johannes most recently updated?
The details pertaining to the Kelley N Johannes, including its address, specialty, and other relevant information, were last refreshed on 2019-12-26.
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