Jeffrey Kelly in Scranton - Physician Assistant

Jeffrey Kelly - NPI 1194898544

Jeffrey Kelly is a Physician Assistant in Scranton, Pennsylvania. Jeffrey Kelly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeffrey Kelly is 1194898544. The last update date is 2007-07-08.

Jeffrey Kelly's current location address is 1800 Mulberry St, Scranton, Pennsylvania. You can contact this provider via phone number 5709698128. The mailing address for Jeffrey Kelly is 1800 Mulberry St, Scranton, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Kelly
Address 1800 Mulberry St, Scranton, Pennsylvania
Phone Number 5709698128
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1194898544
Provider Enumeration Date 2006-11-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1800 Mulberry St
City Scranton
State Pennsylvania (PA)
Post Code 185102369
Phone Number 5709698128
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No MA052458
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 Jeffrey Kelly

What is the unique 10-digit identification code issued to Jeffrey Kelly by the Centers for Medicare & Medicaid Services?

The Jeffrey Kelly has been assigned the NPI (National Provider Identifier) 1194898544 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Jeffrey Kelly?

The Jeffrey Kelly is situated at 1800 Mulberry St, in the city of Scranton, state of PA, with the zip code 185102369.

What is Jeffrey Kelly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jeffrey Kelly is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Jeffrey Kelly receive the assignment of its 1194898544 from the Centers for Medicare & Medicaid Services?

The Jeffrey Kelly was issued its 1194898544 by the Centers for Medicare & Medicaid Services on 2006-11-15.

When was the information regarding Jeffrey Kelly most recently updated?

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

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