Kelly Rae Dallas in Dover - Physician Assistant
Kelly Rae Dallas - NPI 1518095538
Kelly Rae Dallas is a Physician Assistant in Dover, Ohio. Kelly Rae Dallas practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Rae Dallas is 1518095538. The last update date is 2007-07-08.
Kelly Rae Dallas's current location address is 897 E Iron Ave, Dover, Ohio. You can contact this provider via phone number 3303435555 and fax number 3303648964. The mailing address for Kelly Rae Dallas is 897 E Iron Ave, Dover, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Rae Dallas |
|---|---|
| Address | 897 E Iron Ave, Dover, Ohio |
| Phone Number | 3303435555 |
| Fax Number | 3303648964 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1518095538 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 897 E Iron Ave |
|---|---|
| City | Dover |
| State | Ohio (OH) |
| Post Code | 446222030 |
| Phone Number | 3303435555 |
| Fax Number | 3303648964 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1713 |
|
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 |
|
Post Comment/ Review Below
What is the Kelly Rae Dallas's unique identification number?
The Kelly Rae Dallas has been assigned the NPI (National Provider Identifier) Number 1518095538 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Kelly Rae Dallas's facilities are geographically located?
The facilities of Kelly Rae Dallas are physically situated at the following location: 897 E Iron Ave, Dover, OH, 446222030.
What is Kelly Rae Dallas's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly Rae Dallas is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Kelly Rae Dallas receive its 1518095538 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Rae Dallas was assigned its 1518095538 by the Centers for Medicare & Medicaid Services on 2007-03-01.
When was the information regarding Kelly Rae Dallas most recently updated?
The details pertaining to the Kelly Rae Dallas, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.