Kevin A Shelby in Philadelphia - Medical

Kevin A Shelby - NPI 1164455838

Kevin A Shelby is a Medical in Philadelphia, Pennsylvania. Kevin A Shelby practices all healthcare services and medical treatments related to Medical. The NPI Number for Kevin A Shelby is 1164455838. The last update date is 2009-05-13.

Kevin A Shelby's current location address is 2630 Holme Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2673393500 and fax number 2673393763. The mailing address for Kevin A Shelby is 2630 Holme Ave, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin A Shelby
Address 2630 Holme Ave, Philadelphia, Pennsylvania
Phone Number 2673393500
Fax Number 2673393763
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1164455838
Provider Enumeration Date 2006-07-08
Last Updated Date 2009-05-13

Provider Mailing Address Detail

Address 2630 Holme Ave
City Philadelphia
State Pennsylvania (PA)
Post Code 191523004
Phone Number 2673393500
Fax Number 2673393763

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No MA052311
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Kevin A Shelby

What is the unique 10-digit identification code assigned to Kevin A Shelby by the Centers for Medicare & Medicaid Services?

The Kevin A Shelby has been issued the NPI (National Provider Identifier) 1164455838, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kevin A Shelby is geographically located?

The Kevin A Shelby is physically situated at the following location: 2630 Holme Ave, Philadelphia, PA, 191523004.

What is Kevin A Shelby'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 Kevin A Shelby is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.

When did Kevin A Shelby receive its 1164455838 assignment?

The Kevin A Shelby was assigned its 1164455838 on 2006-07-08, which is the date when this unique identifier was issued to the organization.

As of what date were the Kevin A Shelby's details last updated?

The information pertaining to the Kevin A Shelby, including its address, specialty, and other details, was most recently updated on 2009-05-13.

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