Kelly A Bramlette is a Medical in Glen Ellyn, Illinois. Kelly A Bramlette practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelly A Bramlette is 1497910814. The last update date is 2023-06-27.
Kelly A Bramlette's current location address is 430 Pennsylvania Ave Ste 330, Glen Ellyn, Illinois. You can contact this provider via phone number 6305457576 and fax number 6305457839. The mailing address for Kelly A Bramlette is 430 Pennsylvania Ave Ste 330, Glen Ellyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly A Bramlette |
|---|---|
| Address | 430 Pennsylvania Ave Ste 330, Glen Ellyn, Illinois |
| Phone Number | 6305457576 |
| Fax Number | 6305457839 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1497910814 |
|---|---|
| Provider Enumeration Date | 2008-07-24 |
| Last Updated Date | 2023-06-27 |
Provider Mailing Address Detail
| Address | 430 Pennsylvania Ave Ste 330 |
|---|---|
| City | Glen Ellyn |
| State | Illinois (IL) |
| Post Code | 601374464 |
| Phone Number | 6305457576 |
| Fax Number | 6305457839 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 85003118 |
|
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 |
|---|---|---|---|
| 85003118 | PA LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelly A Bramlette by the Centers for Medicare & Medicaid Services?
The Kelly A Bramlette has been issued the NPI (National Provider Identifier) 1497910814, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kelly A Bramlette is physically located?
The Kelly A Bramlette is physically situated at the following address: 430 Pennsylvania Ave Ste 330, Glen Ellyn, IL, 601374464.
What is the Kelly A Bramlette's specialty and taxonomy code?
The Kelly A Bramlette's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date was the 1497910814 assigned to Kelly A Bramlette?
The Kelly A Bramlette was issued its 1497910814 on 2008-07-24, 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 Kelly A Bramlette's details last updated?
The information pertaining to the Kelly A Bramlette, including its address, specialty, and other details, was most recently updated on 2023-06-27.