Kelly Maroney Vinson in Lindenhurst - Medical
Kelly Maroney Vinson - NPI 1639211089
Kelly Maroney Vinson is a Medical in Lindenhurst, Illinois. Kelly Maroney Vinson practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelly Maroney Vinson is 1639211089. The last update date is 2012-07-18.
Kelly Maroney Vinson's current location address is 3021 Falling Waters Blvd, Lindenhurst, Illinois. You can contact this provider via phone number 8474360837 and fax number 8474360837. The mailing address for Kelly Maroney Vinson is 3021 Falling Waters Blvd, Lindenhurst, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Maroney Vinson |
|---|---|
| Address | 3021 Falling Waters Blvd, Lindenhurst, Illinois |
| Phone Number | 8474360837 |
| Fax Number | 8474360837 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1639211089 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2012-07-18 |
Provider Mailing Address Detail
| Address | 3021 Falling Waters Blvd |
|---|---|
| City | Lindenhurst |
| State | Illinois (IL) |
| Post Code | 600466793 |
| Phone Number | 8474360837 |
| Fax Number | 8474360837 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
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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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Post Comment/ Review Below
What is the Kelly Maroney Vinson's unique identification number?
The Kelly Maroney Vinson has been assigned the NPI (National Provider Identifier) Number 1639211089 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Kelly Maroney Vinson's facilities are geographically located?
The facilities of Kelly Maroney Vinson are physically situated at the following location: 3021 Falling Waters Blvd, Lindenhurst, IL, 600466793.
What is the area of specialization for Kelly Maroney Vinson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly Maroney Vinson is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639211089 to Kelly Maroney Vinson?
The Kelly Maroney Vinson received its 1639211089 assignment from the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date were the details pertaining to Kelly Maroney Vinson last refreshed?
The information related to the Kelly Maroney Vinson, including its address, specialty, and other relevant details, was last updated on 2012-07-18.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL