Kelly L. Stafford is a Surgical in Charlotte, North Carolina. Kelly L. Stafford practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kelly L. Stafford is 1184626806. The last update date is 2011-03-21.
Kelly L. Stafford's current location address is 4601 Park Rd, Charlotte, North Carolina. You can contact this provider via phone number 7043232000. The mailing address for Kelly L. Stafford is 4601 Park Rd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly L. Stafford |
|---|---|
| Address | 4601 Park Rd, Charlotte, North Carolina |
| Phone Number | 7043232000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1184626806 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2011-03-21 |
Provider Mailing Address Detail
| Address | 4601 Park Rd |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282093239 |
| Phone Number | 7043232000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | MA051965 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MA051965 | PA | MEDICAL PHYSICIAN ASST | |
| PA05336 | TX | TEXAS STATE LICENSE # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly L. Stafford by the Centers for Medicare & Medicaid Services?
The Kelly L. Stafford has been issued the NPI (National Provider Identifier) 1184626806 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kelly L. Stafford?
The Kelly L. Stafford is situated at 4601 Park Rd, in the city of Charlotte, state of NC, with the zip code 282093239.
What is Kelly L. Stafford's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly L. Stafford is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.
When did the Kelly L. Stafford receive its 1184626806?
The Kelly L. Stafford was issued its 1184626806 on 2005-08-12, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Kelly L. Stafford, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly L. Stafford, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-03-21.
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