Richard Gordon Nellis in Hutchinson - Medical
Richard Gordon Nellis - NPI 1649438516
Richard Gordon Nellis is a Medical in Hutchinson, Minnesota. Richard Gordon Nellis practices all healthcare services and medical treatments related to Medical. The NPI Number for Richard Gordon Nellis is 1649438516. The last update date is 2023-03-08.
Richard Gordon Nellis's current location address is 20449 Koglin Rd, Hutchinson, Minnesota. You can contact this provider via phone number 6123272732. The mailing address for Richard Gordon Nellis is 20449 Koglin Rd, Hutchinson, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Gordon Nellis |
|---|---|
| Address | 20449 Koglin Rd, Hutchinson, Minnesota |
| Phone Number | 6123272732 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1649438516 |
|---|---|
| Provider Enumeration Date | 2008-05-28 |
| Last Updated Date | 2023-03-08 |
Provider Mailing Address Detail
| Address | 20449 Koglin Rd |
|---|---|
| City | Hutchinson |
| State | Minnesota (MN) |
| Post Code | 553504332 |
| Phone Number | 6123272732 |
| Fax Number |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1082853 | NCCPA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Richard Gordon Nellis by the Centers for Medicare & Medicaid Services?
The Richard Gordon Nellis has been issued the NPI (National Provider Identifier) 1649438516, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Richard Gordon Nellis?
The Richard Gordon Nellis is situated at 20449 Koglin Rd, in the city of Hutchinson, state of MN, with the zip code 553504332.
What is Richard Gordon Nellis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Richard Gordon Nellis is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Richard Gordon Nellis receive its 1649438516 assignment from the Centers for Medicare & Medicaid Services?
The Richard Gordon Nellis was assigned its 1649438516 by the Centers for Medicare & Medicaid Services on 2008-05-28.
When was the information regarding Richard Gordon Nellis most recently updated?
The details pertaining to the Richard Gordon Nellis, including its address, specialty, and other relevant information, were last refreshed on 2023-03-08.
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