Jamie L Kelly in Burlington - Physician Assistant
Jamie L Kelly - NPI 1407805708
Jamie L Kelly is a Physician Assistant in Burlington, Vermont. Jamie L Kelly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jamie L Kelly is 1407805708. The last update date is 2011-06-17.
Jamie L Kelly's current location address is 111 Colchester Ave, Burlington, Vermont. You can contact this provider via phone number 8028470000. The mailing address for Jamie L Kelly is 111 Colchester Ave, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamie L Kelly |
|---|---|
| Address | 111 Colchester Ave, Burlington, Vermont |
| Phone Number | 8028470000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1407805708 |
|---|---|
| Provider Enumeration Date | 2006-05-06 |
| Last Updated Date | 2011-06-17 |
Provider Mailing Address Detail
| Address | 111 Colchester Ave |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54011473 |
| Phone Number | 8028470000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 055-0031104 |
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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 |
|---|---|---|---|
| 276456 | VT | MEDICARE ID-TYPE UNSPECIFIED |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jamie L Kelly by the Centers for Medicare & Medicaid Services?
The Jamie L Kelly has been issued the NPI (National Provider Identifier) 1407805708, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jamie L Kelly is physically located?
The Jamie L Kelly is situated at the following address: 111 Colchester Ave, Burlington, VT 54011473.
What is Jamie L Kelly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jamie L Kelly is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did Jamie L Kelly receive its 1407805708 assignment?
The Jamie L Kelly was assigned its 1407805708 on 2006-05-06, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jamie L Kelly last refreshed?
The information related to the Jamie L Kelly, including its address, specialty, and other relevant details, was last updated on 2011-06-17.