Kevin J Kelly in Springfield - Physician Assistant
Kevin J Kelly - NPI 1851502942
Kevin J Kelly is a Physician Assistant in Springfield, Missouri. Kevin J Kelly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kevin J Kelly is 1851502942. The last update date is 2007-07-08.
Kevin J Kelly's current location address is 4049 S Campbell Ave, Springfield, Missouri. You can contact this provider via phone number 4178905550 and fax number 4178896898. The mailing address for Kevin J Kelly is 4049 S Campbell Ave, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin J Kelly |
|---|---|
| Address | 4049 S Campbell Ave, Springfield, Missouri |
| Phone Number | 4178905550 |
| Fax Number | 4178896898 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1851502942 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4049 S Campbell Ave |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658075303 |
| Phone Number | 4178905550 |
| Fax Number | 4178896898 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2007009235 |
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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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Post Comment/ Review Below
What is the Kevin J Kelly's unique identification number?
The Kevin J Kelly has been assigned the NPI (National Provider Identifier) Number 1851502942 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 address where Kevin J Kelly is physically located?
The Kevin J Kelly is situated at the following address: 4049 S Campbell Ave, Springfield, MO 658075303.
What is Kevin J Kelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kevin J Kelly is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Kevin J Kelly receive the assignment of its 1851502942 from the Centers for Medicare & Medicaid Services?
The Kevin J Kelly was issued its 1851502942 by the Centers for Medicare & Medicaid Services on 2007-05-24.
When was the information related to Kevin J Kelly most recently updated or refreshed?
The details pertaining to the Kevin J Kelly, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.