Kellyann O'Brien is a Medical in Springfield, Massachusetts. Kellyann O'Brien practices all healthcare services and medical treatments related to Medical. The NPI Number for Kellyann O'Brien is 1619910155. The last update date is 2023-11-17.
Kellyann O'Brien's current location address is 3400 Main St, Springfield, Massachusetts. You can contact this provider via phone number 4137949560 and fax number 4137945884. The mailing address for Kellyann O'Brien is 3400 Main St, Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellyann O'Brien |
|---|---|
| Address | 3400 Main St, Springfield, Massachusetts |
| Phone Number | 4137949560 |
| Fax Number | 4137945884 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1619910155 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2023-11-17 |
Provider Mailing Address Detail
| Address | 3400 Main St |
|---|---|
| City | Springfield |
| State | Massachusetts (MA) |
| Post Code | 11071113 |
| Phone Number | 4137949560 |
| Fax Number | 4137945884 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA4823 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code issued to Kellyann O'Brien by the Centers for Medicare & Medicaid Services?
The Kellyann O'Brien has been assigned the NPI (National Provider Identifier) 1619910155 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kellyann O'Brien is geographically located?
The Kellyann O'Brien is physically situated at the following location: 3400 Main St, Springfield, MA, 11071113.
What is Kellyann O'Brien's area of expertise and its corresponding taxonomy classification?
The Kellyann O'Brien's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kellyann O'Brien receive the assignment of its 1619910155 from the Centers for Medicare & Medicaid Services?
The Kellyann O'Brien was issued its 1619910155 by the Centers for Medicare & Medicaid Services on 2006-06-13.
When was the information pertaining to Kellyann O'Brien most recently updated or revised?
The details related to Kellyann O'Brien, including its address, specialty, and other relevant information, were last updated or revised on 2023-11-17.
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