Amber Lee Kelley in Manitowoc - Physician Assistant
Amber Lee Kelley - NPI 1982656674
Amber Lee Kelley is a Physician Assistant in Manitowoc, Wisconsin. Amber Lee Kelley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Amber Lee Kelley is 1982656674. The last update date is 2023-07-06.
Amber Lee Kelley's current location address is 801 York St, Manitowoc, Wisconsin. You can contact this provider via phone number 9206639008 and fax number 9206841439. The mailing address for Amber Lee Kelley is 801 York St, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Amber Lee Kelley |
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Address | 801 York St, Manitowoc, Wisconsin |
Phone Number | 9206639008 |
Fax Number | 9206841439 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1982656674 |
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Provider Enumeration Date | 2006-05-17 |
Last Updated Date | 2023-07-06 |
Provider Mailing Address Detail
Address | 801 York St |
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City | Manitowoc |
State | Wisconsin (WI) |
Post Code | 542204630 |
Phone Number | 9206639008 |
Fax Number | 9206841439 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 10000324A |
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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What is the unique 10-digit identifier code assigned to Amber Lee Kelley by the Centers for Medicare & Medicaid Services?
The Amber Lee Kelley has been issued the NPI (National Provider Identifier) 1982656674 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Amber Lee Kelley's physical address?
The Amber Lee Kelley is physically located at 801 York St, in the city of Manitowoc, WI, with the postal code 542204630.
What is the Amber Lee Kelley's specialty and taxonomy code?
The Amber Lee Kelley's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did Amber Lee Kelley receive its 1982656674 assignment?
The Amber Lee Kelley was assigned its 1982656674 on 2006-05-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Amber Lee Kelley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Amber Lee Kelley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-07-06.