Kellie Dale Clausen is a Family in Douglas, . Kellie Dale Clausen practices all healthcare services and medical treatments related to Family. The NPI Number for Kellie Dale Clausen is 1487616553. The last update date is 2012-01-05.
Kellie Dale Clausen's current location address is 111 S 5th St, Douglas, . You can contact this provider via phone number 3073582122 and fax number 3073587381. The mailing address for Kellie Dale Clausen is 111 S 5th St, Douglas, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellie Dale Clausen |
|---|---|
| Address | 111 S 5th St, Douglas, |
| Phone Number | 3073582122 |
| Fax Number | 3073587381 |
| Sole Proprietor | N |
| Credentials | F.N.P. |
NPI Number Detail
| NPI Number | 1487616553 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2012-01-05 |
Provider Mailing Address Detail
| Address | 111 S 5th St |
|---|---|
| City | Douglas |
| State | (WY) |
| Post Code | 826332434 |
| Phone Number | 3073582122 |
| Fax Number | 3073587381 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 14471-0152 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121710100 | WY | -- | |
| 313807 | WY | BLUECROSS AND BLUESHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kellie Dale Clausen by the Centers for Medicare & Medicaid Services?
The Kellie Dale Clausen has been issued the NPI (National Provider Identifier) 1487616553, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kellie Dale Clausen located?
The Kellie Dale Clausen is located at 111 S 5Th St, Douglas, WY 826332434.
What is Kellie Dale Clausen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kellie Dale Clausen is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1487616553 to Kellie Dale Clausen?
The Kellie Dale Clausen received its 1487616553 assignment from the Centers for Medicare & Medicaid Services on 2006-04-04.
When was the information related to Kellie Dale Clausen most recently updated or refreshed?
The details pertaining to the Kellie Dale Clausen, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-01-05.