Gregory Thomas Kelly in Iowa City - Physician Assistant
Gregory Thomas Kelly - NPI 1558359414
Gregory Thomas Kelly is a Physician Assistant in Iowa City, Iowa. Gregory Thomas Kelly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gregory Thomas Kelly is 1558359414. The last update date is 2007-12-11.
Gregory Thomas Kelly's current location address is 200 Hawkins Dr, Iowa City, Iowa. You can contact this provider via phone number 3193562920 and fax number 3193846389. The mailing address for Gregory Thomas Kelly is 200 Hawkins Dr, Iowa City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Thomas Kelly |
|---|---|
| Address | 200 Hawkins Dr, Iowa City, Iowa |
| Phone Number | 3193562920 |
| Fax Number | 3193846389 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1558359414 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2007-12-11 |
Provider Mailing Address Detail
| Address | 200 Hawkins Dr |
|---|---|
| City | Iowa City |
| State | Iowa (IA) |
| Post Code | 522421009 |
| Phone Number | 3193562920 |
| Fax Number | 3193846389 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 645 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46091 | IA | WELLMARK BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gregory Thomas Kelly by the Centers for Medicare & Medicaid Services?
The Gregory Thomas Kelly has been issued the NPI (National Provider Identifier) 1558359414, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gregory Thomas Kelly is located?
The Gregory Thomas Kelly is situated at the following address: 200 Hawkins Dr, Iowa City, IA, 522421009.
What is the area of specialization for Gregory Thomas Kelly, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gregory Thomas Kelly is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558359414 to Gregory Thomas Kelly?
The Gregory Thomas Kelly received its 1558359414 assignment from the Centers for Medicare & Medicaid Services on 2005-10-13.
When was the information pertaining to Gregory Thomas Kelly most recently updated or revised?
The details related to Gregory Thomas Kelly, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-11.