Kelly Lime in Phoenix - Physician Assistant

Kelly Lime - NPI 1366476004

Kelly Lime is a Physician Assistant in Phoenix, Arizona. Kelly Lime practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Lime is 1366476004. The last update date is 2007-07-08.

Kelly Lime's current location address is 19636 N 27th Ave, Phoenix, Arizona. You can contact this provider via phone number 6237801999 and fax number 6235160950. The mailing address for Kelly Lime is 19636 N 27th Ave, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Lime
Address 19636 N 27th Ave, Phoenix, Arizona
Phone Number 6237801999
Fax Number 6235160950
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1366476004
Provider Enumeration Date 2006-07-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 19636 N 27th Ave
City Phoenix
State Arizona (AZ)
Post Code 850274013
Phone Number 6237801999
Fax Number 6235160950

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 2701
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Kelly Lime

What is the Kelly Lime's unique identification number?

The Kelly Lime has been assigned the NPI (National Provider Identifier) Number 1366476004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Kelly Lime is located?

The Kelly Lime is situated at the following address: 19636 N 27Th Ave, Phoenix, AZ, 850274013.

What is Kelly Lime's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kelly Lime is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1366476004 to Kelly Lime?

The Centers for Medicare & Medicaid Services assigned the 1366476004 to Kelly Lime on 2006-07-10.

When was the information regarding Kelly Lime most recently updated?

The details pertaining to the Kelly Lime, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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