Kelley Duncan Mayden in Kingsport - Nurse Practitioner
Kelley Duncan Mayden - NPI 1871526194
Kelley Duncan Mayden is a Nurse Practitioner in Kingsport, Tennessee. Kelley Duncan Mayden practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kelley Duncan Mayden is 1871526194. The last update date is 2015-12-10.
Kelley Duncan Mayden's current location address is 105 W Stone Dr, Kingsport, Tennessee. You can contact this provider via phone number 4234087220 and fax number 4234087405. The mailing address for Kelley Duncan Mayden is 105 W Stone Dr, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley Duncan Mayden |
|---|---|
| Address | 105 W Stone Dr, Kingsport, Tennessee |
| Phone Number | 4234087220 |
| Fax Number | 4234087405 |
| Sole Proprietor | N |
| Credentials | AOCNP |
NPI Number Detail
| NPI Number | 1871526194 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2015-12-10 |
Provider Mailing Address Detail
| Address | 105 W Stone Dr |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 376603365 |
| Phone Number | 4234087220 |
| Fax Number | 4234087405 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | APN000000631 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100062220 | KY | -- |
Post Comment/ Review Below
What is the Kelley Duncan Mayden's unique identification number?
The Kelley Duncan Mayden has been assigned the NPI (National Provider Identifier) Number 1871526194 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kelley Duncan Mayden's physical address?
The Kelley Duncan Mayden is physically located at 105 W Stone Dr, in the city of Kingsport, TN, with the postal code 376603365.
What is Kelley Duncan Mayden's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelley Duncan Mayden's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Kelley Duncan Mayden receive the assignment of its 1871526194 from the Centers for Medicare & Medicaid Services?
The Kelley Duncan Mayden was issued its 1871526194 by the Centers for Medicare & Medicaid Services on 2006-07-09.
When was the Kelley Duncan Mayden's information last updated?
The Kelley Duncan Mayden's information was last updated on 2015-12-10.
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