Jaan Kelly is a Medical in Knoxville, Tennessee. Jaan Kelly practices all healthcare services and medical treatments related to Medical. The NPI Number for Jaan Kelly is 1831189190. The last update date is 2010-12-09.
Jaan Kelly's current location address is 9330 Park West Blvd, Knoxville, Tennessee. You can contact this provider via phone number 8656914850 and fax number 8656948018. The mailing address for Jaan Kelly is 9330 Park West Blvd, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaan Kelly |
|---|---|
| Address | 9330 Park West Blvd, Knoxville, Tennessee |
| Phone Number | 8656914850 |
| Fax Number | 8656948018 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1831189190 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2010-12-09 |
Provider Mailing Address Detail
| Address | 9330 Park West Blvd |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 379234308 |
| Phone Number | 8656914850 |
| Fax Number | 8656948018 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1072 |
|
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 |
|---|---|---|---|
| 3661893 | TN | -- |
Post Comment/ Review Below
What is the Jaan Kelly's 1831189190?
The Jaan Kelly's NPI (National Provider Identifier) Number is 1831189190. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jaan Kelly's facilities are situated?
The facilities of Jaan Kelly are physically located at the following address: 9330 Park West Blvd, Knoxville, TN, 379234308.
What is Jaan Kelly's area of expertise and its corresponding taxonomy classification?
The Jaan Kelly'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 was the 1831189190 assigned to Jaan Kelly?
The Jaan Kelly was issued its 1831189190 on 2005-10-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jaan Kelly most recently updated or refreshed?
The details pertaining to the Jaan Kelly, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-12-09.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH