Kelly R Poole is a Physician Assistant in Wausau, Wisconsin. Kelly R Poole practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly R Poole is 1518076173. The last update date is 2007-07-08.
Kelly R Poole's current location address is 2727 Plaza Drive, Wausau, Wisconsin. You can contact this provider via phone number 7158473281. The mailing address for Kelly R Poole is 2727 Plaza Drive, Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly R Poole |
|---|---|
| Address | 2727 Plaza Drive, Wausau, Wisconsin |
| Phone Number | 7158473281 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1518076173 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2727 Plaza Drive |
|---|---|
| City | Wausau |
| State | Wisconsin (WI) |
| Post Code | 54401 |
| Phone Number | 7158473281 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1097 |
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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 |
|---|---|---|---|
| 42985900 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kelly R Poole by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly R Poole has been assigned the NPI (National Provider Identifier) 1518076173. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Kelly R Poole is physically located?
The Kelly R Poole is physically situated at the following address: 2727 Plaza Drive, Wausau, WI, 54401.
What is Kelly R Poole's area of expertise and its corresponding taxonomy classification?
The Kelly R Poole's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Kelly R Poole receive its 1518076173 assignment from the Centers for Medicare & Medicaid Services?
The Kelly R Poole was assigned its 1518076173 on 2006-08-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kelly R Poole, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly R Poole, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.