Mary Michael Kelley in Woodbury - Physician Assistant
Mary Michael Kelley - NPI 1689608275
Mary Michael Kelley is a Physician Assistant in Woodbury, New Jersey. Mary Michael Kelley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary Michael Kelley is 1689608275. The last update date is 2007-07-12.
Mary Michael Kelley's current location address is 307 S Evergreen Ave, Woodbury, New Jersey. You can contact this provider via phone number 8566864300. The mailing address for Mary Michael Kelley is 307 S Evergreen Ave, Woodbury, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Michael Kelley |
|---|---|
| Address | 307 S Evergreen Ave, Woodbury, New Jersey |
| Phone Number | 8566864300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1689608275 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 307 S Evergreen Ave |
|---|---|
| City | Woodbury |
| State | New Jersey (NJ) |
| Post Code | 80962739 |
| Phone Number | 8566864300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 7123 |
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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 |
|---|---|---|---|
| 364664 | NY | MVP |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Michael Kelley by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Michael Kelley has been assigned the NPI (National Provider Identifier) 1689608275. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Mary Michael Kelley located?
The Mary Michael Kelley is located at 307 S Evergreen Ave, Woodbury, NJ 80962739.
What is the Mary Michael Kelley's specialty and taxonomy code?
The Mary Michael Kelley's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1689608275 assigned to Mary Michael Kelley?
The Mary Michael Kelley was issued its 1689608275 on 2006-07-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mary Michael Kelley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Michael Kelley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-12.