Patricia A Kelly in Long Beach - Nurse Practitioner
Patricia A Kelly - NPI 1164435582
Patricia A Kelly is a Nurse Practitioner in Long Beach, California. Patricia A Kelly practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Patricia A Kelly is 1164435582. The last update date is 2018-01-10.
Patricia A Kelly's current location address is 200 Oceangate Ste 100, Long Beach, California. You can contact this provider via phone number 8885625442 and fax number 5625285595. The mailing address for Patricia A Kelly is 200 Oceangate Ste 100, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia A Kelly |
|---|---|
| Address | 200 Oceangate Ste 100, Long Beach, California |
| Phone Number | 8885625442 |
| Fax Number | 5625285595 |
| Sole Proprietor | N |
| Credentials | NMD, FNP-B |
NPI Number Detail
| NPI Number | 1164435582 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2018-01-10 |
Provider Mailing Address Detail
| Address | 200 Oceangate Ste 100 |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908024317 |
| Phone Number | 8885625442 |
| Fax Number | 5625285595 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP04543 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 577056 | OH | ANTHEM | |
| 421534506126 | OH | CARESOURCE | |
| 2271741 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Patricia A Kelly by the Centers for Medicare & Medicaid Services?
The Patricia A Kelly has been assigned the NPI (National Provider Identifier) 1164435582 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Patricia A Kelly?
The Patricia A Kelly is physically situated at 200 Oceangate Ste 100, in the city of Long Beach, state of CA, with the postal code 908024317.
What is Patricia A Kelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Patricia A Kelly is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date was the 1164435582 assigned to Patricia A Kelly?
The Patricia A Kelly was issued its 1164435582 on 2006-08-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Patricia A Kelly most recently updated or revised?
The details related to Patricia A Kelly, including its address, specialty, and other relevant information, were last updated or revised on 2018-01-10.