Karen Kelley Mathis in Lake Wales - Medical
Karen Kelley Mathis - NPI 1679504492
Karen Kelley Mathis is a Medical in Lake Wales, Florida. Karen Kelley Mathis practices all healthcare services and medical treatments related to Medical. The NPI Number for Karen Kelley Mathis is 1679504492. The last update date is 2013-03-05.
Karen Kelley Mathis's current location address is 1354 State Road 60 E, Lake Wales, Florida. You can contact this provider via phone number 8636798888 and fax number 8636762851. The mailing address for Karen Kelley Mathis is 1354 State Road 60 E, Lake Wales, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karen Kelley Mathis |
|---|---|
| Address | 1354 State Road 60 E, Lake Wales, Florida |
| Phone Number | 8636798888 |
| Fax Number | 8636762851 |
| Sole Proprietor | Y |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1679504492 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2013-03-05 |
Provider Mailing Address Detail
| Address | 1354 State Road 60 E |
|---|---|
| City | Lake Wales |
| State | Florida (FL) |
| Post Code | 338534322 |
| Phone Number | 8636798888 |
| Fax Number | 8636762851 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9103274 |
|
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 |
|---|---|---|---|
| 1679504492 | FL | NPI | |
| 292213400 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Karen Kelley Mathis by the Centers for Medicare & Medicaid Services?
The Karen Kelley Mathis has been issued the NPI (National Provider Identifier) 1679504492. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Karen Kelley Mathis is physically located?
The Karen Kelley Mathis is situated at the following address: 1354 State Road 60 E, Lake Wales, FL 338534322.
What is Karen Kelley Mathis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Karen Kelley Mathis's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date was the 1679504492 assigned to Karen Kelley Mathis?
The Karen Kelley Mathis was issued its 1679504492 on 2006-07-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Karen Kelley Mathis last refreshed?
The information related to the Karen Kelley Mathis, including its address, specialty, and other relevant details, was last updated on 2013-03-05.
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