Rowdy Kelly is a Orthopedic in Mountain Home, Arkansas. Rowdy Kelly practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Rowdy Kelly is 1124017058. The last update date is 2011-03-07.
Rowdy Kelly's current location address is 1100 County Road 643, Mountain Home, Arkansas. You can contact this provider via phone number 8704250725. The mailing address for Rowdy Kelly is 1100 County Road 643, Mountain Home, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rowdy Kelly |
|---|---|
| Address | 1100 County Road 643, Mountain Home, Arkansas |
| Phone Number | 8704250725 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.T., COMT |
NPI Number Detail
| NPI Number | 1124017058 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2011-03-07 |
Provider Mailing Address Detail
| Address | 1100 County Road 643 |
|---|---|
| City | Mountain Home |
| State | Arkansas (AR) |
| Post Code | 726537555 |
| Phone Number | 8704250725 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | PT1978 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
|
Post Comment/ Review Below
What is the unique identifier code issued to Rowdy Kelly by the Centers for Medicare & Medicaid Services?
The Rowdy Kelly has been assigned the NPI (National Provider Identifier) 1124017058. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Rowdy Kelly is physically located?
The Rowdy Kelly is physically situated at the following address: 1100 County Road 643, Mountain Home, AR, 726537555.
What is the area of specialization for Rowdy Kelly, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Rowdy Kelly is Orthopedic, and the corresponding taxonomy code that categorizes this area of expertise is 2251X0800X.
On what date did Rowdy Kelly receive its 1124017058 assignment from the Centers for Medicare & Medicaid Services?
The Rowdy Kelly was assigned its 1124017058 on 2005-10-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Rowdy Kelly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Rowdy Kelly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-03-07.