Courtney Ann Kelly is a Medical in Morris, Illinois. Courtney Ann Kelly practices all healthcare services and medical treatments related to Medical. The NPI Number for Courtney Ann Kelly is 1265628275. The last update date is 2020-12-17.
Courtney Ann Kelly's current location address is 1345 Edwards St Ste 2, Morris, Illinois. You can contact this provider via phone number 8159421421 and fax number 8154882033. The mailing address for Courtney Ann Kelly is 1345 Edwards St Ste 2, Morris, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney Ann Kelly |
|---|---|
| Address | 1345 Edwards St Ste 2, Morris, Illinois |
| Phone Number | 8159421421 |
| Fax Number | 8154882033 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1265628275 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2020-12-17 |
Provider Mailing Address Detail
| Address | 1345 Edwards St Ste 2 |
|---|---|
| City | Morris |
| State | Illinois (IL) |
| Post Code | 604501692 |
| Phone Number | 8159421421 |
| Fax Number | 8154882033 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 85003055 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85.003055 | IL | IL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Courtney Ann Kelly by the Centers for Medicare & Medicaid Services?
The Courtney Ann Kelly has been assigned the NPI (National Provider Identifier) 1265628275. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Courtney Ann Kelly is physically located?
The Courtney Ann Kelly is physically situated at the following address: 1345 Edwards St Ste 2, Morris, IL, 604501692.
What is Courtney Ann Kelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Courtney Ann Kelly is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1265628275 to Courtney Ann Kelly?
The Centers for Medicare & Medicaid Services assigned the 1265628275 to Courtney Ann Kelly on 2007-09-24.
As of what date were the Courtney Ann Kelly's details last updated?
The information pertaining to the Courtney Ann Kelly, including its address, specialty, and other details, was most recently updated on 2020-12-17.