Lagena Kay Immel in Clarksville - Pediatrics
Lagena Kay Immel - NPI 1275745630
Lagena Kay Immel is a Pediatrics in Clarksville, Arkansas. Lagena Kay Immel practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lagena Kay Immel is 1275745630. The last update date is 2007-07-08.
Lagena Kay Immel's current location address is 1000 W Buchanan St, Clarksville, Arkansas. You can contact this provider via phone number 4797546210. The mailing address for Lagena Kay Immel is 1000 W Buchanan St, Clarksville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lagena Kay Immel |
|---|---|
| Address | 1000 W Buchanan St, Clarksville, Arkansas |
| Phone Number | 4797546210 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1275745630 |
|---|---|
| Provider Enumeration Date | 2007-05-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1000 W Buchanan St |
|---|---|
| City | Clarksville |
| State | Arkansas (AR) |
| Post Code | 728302252 |
| Phone Number | 4797546210 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | OTR1512 |
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What is the unique 10-digit identifier code assigned to Lagena Kay Immel by the Centers for Medicare & Medicaid Services?
The Lagena Kay Immel has been issued the NPI (National Provider Identifier) 1275745630 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Lagena Kay Immel's facilities are situated?
The facilities of Lagena Kay Immel are physically located at the following address: 1000 W Buchanan St, Clarksville, AR, 728302252.
What is the Lagena Kay Immel's specialty and taxonomy code?
The Lagena Kay Immel's specialty is Pediatrics, and the corresponding taxonomy code is 225Xp0200X.
On what date did the Lagena Kay Immel receive its 1275745630 assignment from the Centers for Medicare & Medicaid Services?
The Lagena Kay Immel was assigned its 1275745630 by the Centers for Medicare & Medicaid Services on 2007-05-05.
As of what date were the details pertaining to Lagena Kay Immel last refreshed?
The information related to the Lagena Kay Immel, including its address, specialty, and other relevant details, was last updated on 2007-07-08.