Kelly Drevecky is a Pediatrics in Minot, North Dakota. Kelly Drevecky practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelly Drevecky is 1629224860. The last update date is 2008-08-07.
Kelly Drevecky's current location address is 700 Harmony St Nw, Minot, North Dakota. You can contact this provider via phone number 7017205355 and fax number 7018391311. The mailing address for Kelly Drevecky is 700 Harmony St Nw, Minot, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelly Drevecky |
|---|---|
| Address | 700 Harmony St Nw, Minot, North Dakota |
| Phone Number | 7017205355 |
| Fax Number | 7018391311 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRAC |
|---|---|
| Authorized Official Name | Drevecky Lon Kelly |
| Credentials | OT R/L |
| Telephone Number | 1701720535 |
NPI Number Detail
| NPI Number | 1629224860 |
|---|---|
| Provider Enumeration Date | 2008-08-07 |
| Last Updated Date | 2008-08-07 |
Provider Mailing Address Detail
| Address | 700 Harmony St Nw |
|---|---|
| City | Minot |
| State | North Dakota (ND) |
| Post Code | 587032892 |
| Phone Number | 7017205355 |
| Fax Number | 7018391311 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 612 |
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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 |
|---|---|---|---|
| 1023153921 | ALLI HAGER'S NPI | ||
| 50609 | ND | -- | |
| 1457303695 | NPI FOR KELLY DREVECKY | ||
| 51145 | ND | -- | |
| 51500 | ND | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelly Drevecky by the Centers for Medicare & Medicaid Services?
The Kelly Drevecky has been issued the NPI (National Provider Identifier) 1629224860, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kelly Drevecky's physical address?
The Kelly Drevecky is physically located at 700 Harmony St Nw, in the city of Minot, ND, with the postal code 587032892.
What is the Kelly Drevecky's area of specialization and corresponding taxonomy classification?
The Kelly Drevecky's specialty field is Pediatrics, and it falls under the taxonomy code 225Xp0200X, which categorizes healthcare providers based on their specialties.
On what date was the 1629224860 assigned to Kelly Drevecky?
The Kelly Drevecky was issued its 1629224860 on 2008-08-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Kelly Drevecky's information last updated?
The Kelly Drevecky's information was last updated on 2008-08-07.
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