Kelli Kotlarz Rawn in Jacksonville - Pediatrics
Kelli Kotlarz Rawn - NPI 1790810414
Kelli Kotlarz Rawn is a Pediatrics in Jacksonville, Arkansas. Kelli Kotlarz Rawn practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelli Kotlarz Rawn is 1790810414. The last update date is 2021-12-23.
Kelli Kotlarz Rawn's current location address is 2400 W Main St, Jacksonville, Arkansas. You can contact this provider via phone number 5019824578 and fax number 5015336326. The mailing address for Kelli Kotlarz Rawn is 2400 W Main St, Jacksonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli Kotlarz Rawn |
|---|---|
| Address | 2400 W Main St, Jacksonville, Arkansas |
| Phone Number | 5019824578 |
| Fax Number | 5015336326 |
| Sole Proprietor | N |
| Credentials | O.TR/L |
NPI Number Detail
| NPI Number | 1790810414 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2021-12-23 |
Provider Mailing Address Detail
| Address | 2400 W Main St |
|---|---|
| City | Jacksonville |
| State | Arkansas (AR) |
| Post Code | 72076 |
| Phone Number | 5019824578 |
| Fax Number | 5015336326 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | OTR1972 |
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Definition: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 156333721 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kelli Kotlarz Rawn by the Centers for Medicare & Medicaid Services (CMS)?
The Kelli Kotlarz Rawn has been assigned the NPI (National Provider Identifier) 1790810414. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Kelli Kotlarz Rawn's facilities are geographically located?
The facilities of Kelli Kotlarz Rawn are physically situated at the following location: 2400 W Main St, Jacksonville, AR, 72076.
What is Kelli Kotlarz Rawn's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelli Kotlarz Rawn is Pediatrics, and the taxonomy code that categorizes this field of expertise is 225Xp0200X.
On what date did the Kelli Kotlarz Rawn receive its 1790810414 assignment from the Centers for Medicare & Medicaid Services?
The Kelli Kotlarz Rawn was assigned its 1790810414 by the Centers for Medicare & Medicaid Services on 2007-02-22.
As of what date was the information regarding Kelli Kotlarz Rawn, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelli Kotlarz Rawn, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-23.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA