Kelly Anne Kallis in Fayetteville - Nurse Practitioner
Kelly Anne Kallis - NPI 1831244417
Kelly Anne Kallis is a Nurse Practitioner in Fayetteville, Georgia. Kelly Anne Kallis practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kelly Anne Kallis is 1831244417. The last update date is 2011-02-17.
Kelly Anne Kallis's current location address is 101 Yorktown Dr, Fayetteville, Georgia. You can contact this provider via phone number 7704604285. The mailing address for Kelly Anne Kallis is 101 Yorktown Dr, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Anne Kallis |
|---|---|
| Address | 101 Yorktown Dr, Fayetteville, Georgia |
| Phone Number | 7704604285 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1831244417 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2011-02-17 |
Provider Mailing Address Detail
| Address | 101 Yorktown Dr |
|---|---|
| City | Fayetteville |
| State | Georgia (GA) |
| Post Code | 302141568 |
| Phone Number | 7704604285 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 119187 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code assigned to Kelly Anne Kallis by the Centers for Medicare & Medicaid Services?
The Kelly Anne Kallis has been issued the NPI (National Provider Identifier) 1831244417, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kelly Anne Kallis?
The Kelly Anne Kallis is physically situated at 101 Yorktown Dr, in the city of Fayetteville, state of GA, with the postal code 302141568.
What is Kelly Anne Kallis'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 Kelly Anne Kallis is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
When did Kelly Anne Kallis receive its 1831244417 assignment?
The Kelly Anne Kallis was assigned its 1831244417 on 2007-01-24, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Kelly Anne Kallis most recently updated or revised?
The information pertaining to Kelly Anne Kallis, including its address, specialty, and other relevant details, was last updated or revised on 2011-02-17.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY