Kelsey Marie Henningson-Kaye in Ortonville - Medical

Kelsey Marie Henningson-Kaye - NPI 1093976540

Kelsey Marie Henningson-Kaye is a Medical in Ortonville, Minnesota. Kelsey Marie Henningson-Kaye practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelsey Marie Henningson-Kaye is 1093976540. The last update date is 2012-05-25.

Kelsey Marie Henningson-Kaye's current location address is 450 Eastvold Ave, Ortonville, Minnesota. You can contact this provider via phone number 3208396157 and fax number 3208393851. The mailing address for Kelsey Marie Henningson-Kaye is 450 Eastvold Ave, Ortonville, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelsey Marie Henningson-Kaye
Address 450 Eastvold Ave, Ortonville, Minnesota
Phone Number 3208396157
Fax Number 3208393851
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1093976540
Provider Enumeration Date 2008-06-18
Last Updated Date 2012-05-25

Provider Mailing Address Detail

Address 450 Eastvold Ave
City Ortonville
State Minnesota (MN)
Post Code 56278
Phone Number 3208396157
Fax Number 3208393851

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 2260-023
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
1093976540 MN --
1093976540 MN MEDICA
1093976540 MN BCBS
1093976540 MN CHAMPUS
1093976540 MN RR MEDICARE
1093976540 DAKOTA CARE
1093976540 MN PREFERRED ONE
1093976540 UCARE
1093976540 MN PRIMEWEST HEALTH
1093976540 HEALTHPARTNERS

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FAQs about Kelsey Marie Henningson-Kaye

What is the unique 10-digit identifier code issued to Kelsey Marie Henningson-Kaye by the Centers for Medicare & Medicaid Services?

The Kelsey Marie Henningson-Kaye has been assigned the NPI (National Provider Identifier) 1093976540 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Kelsey Marie Henningson-Kaye?

The Kelsey Marie Henningson-Kaye is situated at 450 Eastvold Ave, in the city of Ortonville, state of MN, with the zip code 56278.

What is Kelsey Marie Henningson-Kaye's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kelsey Marie Henningson-Kaye is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1093976540 to Kelsey Marie Henningson-Kaye?

The Kelsey Marie Henningson-Kaye received its 1093976540 assignment from the Centers for Medicare & Medicaid Services on 2008-06-18.

As of what date were the details related to Kelsey Marie Henningson-Kaye most recently updated or revised?

The information pertaining to Kelsey Marie Henningson-Kaye, including its address, specialty, and other relevant details, was last updated or revised on 2012-05-25.

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