Kelly Marti in Maryville - Medical

Kelly Marti - NPI 1619095270

Kelly Marti is a Medical in Maryville, Illinois. Kelly Marti practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelly Marti is 1619095270. The last update date is 2007-07-08.

Kelly Marti's current location address is 20 B Professional Park, Maryville, Illinois. You can contact this provider via phone number 6182881480 and fax number 6182882407. The mailing address for Kelly Marti is 20 B Professional Park, Maryville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Marti
Address 20 B Professional Park, Maryville, Illinois
Phone Number 6182881480
Fax Number 6182882407
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1619095270
Provider Enumeration Date 2007-03-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 20 B Professional Park
City Maryville
State Illinois (IL)
Post Code 62062
Phone Number 6182881480
Fax Number 6182882407

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Kelly Marti

What is the unique 10-digit identification code assigned to Kelly Marti by the Centers for Medicare & Medicaid Services?

The Kelly Marti has been issued the NPI (National Provider Identifier) 1619095270, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kelly Marti is geographically located?

The Kelly Marti is physically situated at the following location: 20 B Professional Park, Maryville, IL, 62062.

What is the area of specialization for Kelly Marti, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kelly Marti is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

When was the Kelly Marti's 1619095270 issued?

The Kelly Marti's 1619095270 was issued on 2007-03-26.

When was the information regarding Kelly Marti, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kelly Marti, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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