Kenneth E Mccolley in Blacksburg - Medical
Kenneth E Mccolley - NPI 1003817966
Kenneth E Mccolley is a Medical in Blacksburg, Virginia. Kenneth E Mccolley practices all healthcare services and medical treatments related to Medical. The NPI Number for Kenneth E Mccolley is 1003817966. The last update date is 2010-09-22.
Kenneth E Mccolley's current location address is 3700 S Main St, Blacksburg, Virginia. You can contact this provider via phone number 5409535122. The mailing address for Kenneth E Mccolley is 3700 S Main St, Blacksburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth E Mccolley |
|---|---|
| Address | 3700 S Main St, Blacksburg, Virginia |
| Phone Number | 5409535122 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1003817966 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2010-09-22 |
Provider Mailing Address Detail
| Address | 3700 S Main St |
|---|---|
| City | Blacksburg |
| State | Virginia (VA) |
| Post Code | 240607017 |
| Phone Number | 5409535122 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 0110-840685 |
|
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 |
|---|---|---|---|
| 110840685 | VA | BOARD OF MEDICINE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kenneth E Mccolley?
The Kenneth E Mccolley has been issued the NPI (National Provider Identifier) 1003817966 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Kenneth E Mccolley is located?
The Kenneth E Mccolley is situated at the following address: 3700 S Main St, Blacksburg, VA, 240607017.
What is Kenneth E Mccolley's area of expertise and its corresponding taxonomy classification?
The Kenneth E Mccolley'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 did the Centers for Medicare & Medicaid Services issue the 1003817966 to Kenneth E Mccolley?
The Kenneth E Mccolley received its 1003817966 assignment from the Centers for Medicare & Medicaid Services on 2005-08-02.
As of what date was the information regarding Kenneth E Mccolley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth E Mccolley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-09-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY