Cheri W Kelly is a Medical in Carterville, Illinois. Cheri W Kelly practices all healthcare services and medical treatments related to Medical. The NPI Number for Cheri W Kelly is 1053469387. The last update date is 2012-09-13.
Cheri W Kelly's current location address is Po Box 577, Carterville, Illinois. You can contact this provider via phone number 6189569540. The mailing address for Cheri W Kelly is Po Box 577, Carterville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Cheri W Kelly |
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Address | Po Box 577, Carterville, Illinois |
Phone Number | 6189569540 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1053469387 |
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Provider Enumeration Date | 2007-01-05 |
Last Updated Date | 2012-09-13 |
Provider Mailing Address Detail
Address | Po Box 577 |
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City | Carterville |
State | Illinois (IL) |
Post Code | 629180577 |
Phone Number | 6189569540 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | 85001319 |
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 |
---|---|---|---|
370966854002 | IL | -- | |
CF3444 | IL | MEDICARE RR | |
370966854005 | IL | -- | |
132564 | IL | HEALTH ALLIANCE | |
85001319 | IL | STATE LICENSE NUMBER |
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What is the unique 10-digit identification code issued to Cheri W Kelly by the Centers for Medicare & Medicaid Services?
The Cheri W Kelly has been assigned the NPI (National Provider Identifier) 1053469387 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Cheri W Kelly?
The Cheri W Kelly is physically situated at Po Box 577, in the city of Carterville, state of IL, with the postal code 629180577.
What is Cheri W Kelly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Cheri W Kelly is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
When did the Cheri W Kelly receive its 1053469387?
The Cheri W Kelly was issued its 1053469387 on 2007-01-05, which is the date when the organization was assigned this unique identifier.
As of what date were the Cheri W Kelly's details last updated?
The information pertaining to the Cheri W Kelly, including its address, specialty, and other details, was most recently updated on 2012-09-13.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY