Kelly King is a Pediatrics in Mesa, Arizona. Kelly King practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelly King is 1164649406. The last update date is 2007-07-08.
Kelly King's current location address is 952 E Baseline Rd, Mesa, Arizona. You can contact this provider via phone number 4809266309. The mailing address for Kelly King is 952 E Baseline Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly King |
|---|---|
| Address | 952 E Baseline Rd, Mesa, Arizona |
| Phone Number | 4809266309 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1164649406 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 952 E Baseline Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852046627 |
| Phone Number | 4809266309 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 1441 |
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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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Post Comment/ Review Below
What is the Kelly King's unique identification number?
The Kelly King has been assigned the NPI (National Provider Identifier) Number 1164649406 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Kelly King's facilities are geographically located?
The facilities of Kelly King are physically situated at the following location: 952 E Baseline Rd, Mesa, AZ, 852046627.
What is Kelly King's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly King is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164649406 to Kelly King?
The Kelly King received its 1164649406 assignment from the Centers for Medicare & Medicaid Services on 2007-04-19.
As of what date was the information pertaining to Kelly King, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly King, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.