Kelly L Mead is a Medical in Enfield, Connecticut. Kelly L Mead practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelly L Mead is 1275607855. The last update date is 2021-08-10.
Kelly L Mead's current location address is 113 Elm St Ste 304, Enfield, Connecticut. You can contact this provider via phone number 8607412225 and fax number 8607412229. The mailing address for Kelly L Mead is 113 Elm St Ste 304, Enfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly L Mead |
|---|---|
| Address | 113 Elm St Ste 304, Enfield, Connecticut |
| Phone Number | 8607412225 |
| Fax Number | 8607412229 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1275607855 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2021-08-10 |
Provider Mailing Address Detail
| Address | 113 Elm St Ste 304 |
|---|---|
| City | Enfield |
| State | Connecticut (CT) |
| Post Code | 60823739 |
| Phone Number | 8607412225 |
| Fax Number | 8607412229 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 332 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique identification code assigned to Kelly L Mead by the Centers for Medicare & Medicaid Services?
The Kelly L Mead has been issued the NPI (National Provider Identifier) 1275607855. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly L Mead located?
The Kelly L Mead is located at 113 Elm St Ste 304, Enfield, CT 60823739.
What is Kelly L Mead's area of expertise and its corresponding taxonomy classification?
The Kelly L Mead's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kelly L Mead receive the assignment of its 1275607855 from the Centers for Medicare & Medicaid Services?
The Kelly L Mead was issued its 1275607855 by the Centers for Medicare & Medicaid Services on 2006-11-17.
When was the information pertaining to Kelly L Mead most recently updated or revised?
The details related to Kelly L Mead, including its address, specialty, and other relevant information, were last updated or revised on 2021-08-10.
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