Kelly Potter Parks is a Medical in Seaford, Delaware. Kelly Potter Parks practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelly Potter Parks is 1184746026. The last update date is 2007-08-16.
Kelly Potter Parks's current location address is 121 S Front St, Seaford, Delaware. You can contact this provider via phone number 3026295030 and fax number 3026295035. The mailing address for Kelly Potter Parks is 121 S Front St, Seaford, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Potter Parks |
|---|---|
| Address | 121 S Front St, Seaford, Delaware |
| Phone Number | 3026295030 |
| Fax Number | 3026295035 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1184746026 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-08-16 |
Provider Mailing Address Detail
| Address | 121 S Front St |
|---|---|
| City | Seaford |
| State | Delaware (DE) |
| Post Code | 199733511 |
| Phone Number | 3026295030 |
| Fax Number | 3026295035 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | C5-0000165 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C5-0000165 | DE | STATE LICENSE NUMBER | |
| RXPA02015 | DE | STATE PRESCRIPTION NUMBER |
Post Comment/ Review Below
What is the Kelly Potter Parks's 1184746026?
The Kelly Potter Parks's NPI (National Provider Identifier) Number is 1184746026. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kelly Potter Parks is physically located?
The Kelly Potter Parks is physically situated at the following address: 121 S Front St, Seaford, DE, 199733511.
What is Kelly Potter Parks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly Potter Parks is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Kelly Potter Parks receive the assignment of its 1184746026 from the Centers for Medicare & Medicaid Services?
The Kelly Potter Parks was issued its 1184746026 by the Centers for Medicare & Medicaid Services on 2007-04-04.
As of what date were the Kelly Potter Parks's details last updated?
The information pertaining to the Kelly Potter Parks, including its address, specialty, and other details, was most recently updated on 2007-08-16.