Kelley Susan Gillis is a Medical in Nashua, New Hampshire. Kelley Susan Gillis practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelley Susan Gillis is 1265533137. The last update date is 2016-07-05.
Kelley Susan Gillis's current location address is 2300 Southwood Dr, Nashua, New Hampshire. You can contact this provider via phone number 6035774188. The mailing address for Kelley Susan Gillis is 2300 Southwood Dr, Nashua, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley Susan Gillis |
|---|---|
| Address | 2300 Southwood Dr, Nashua, New Hampshire |
| Phone Number | 6035774188 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1265533137 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2016-07-05 |
Provider Mailing Address Detail
| Address | 2300 Southwood Dr |
|---|---|
| City | Nashua |
| State | New Hampshire (NH) |
| Post Code | 30631818 |
| Phone Number | 6035774188 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 525 |
|
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 |
|---|---|---|---|
| 30334240 | NH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kelley Susan Gillis by the Centers for Medicare & Medicaid Services?
The Kelley Susan Gillis has been assigned the NPI (National Provider Identifier) 1265533137 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 Kelley Susan Gillis is geographically located?
The Kelley Susan Gillis is physically situated at the following location: 2300 Southwood Dr, Nashua, NH, 30631818.
What is Kelley Susan Gillis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelley Susan Gillis's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did Kelley Susan Gillis receive its 1265533137 assignment from the Centers for Medicare & Medicaid Services?
The Kelley Susan Gillis was assigned its 1265533137 on 2006-09-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kelley Susan Gillis most recently updated or refreshed?
The details pertaining to the Kelley Susan Gillis, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-07-05.
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