Traci L Kelly is a Family in Phoenix, Arizona. Traci L Kelly practices all healthcare services and medical treatments related to Family. The NPI Number for Traci L Kelly is 1912958232. The last update date is 2008-05-21.
Traci L Kelly's current location address is 349 E Coronado Rd, Phoenix, Arizona. You can contact this provider via phone number 6022665678 and fax number 6022645646. The mailing address for Traci L Kelly is 349 E Coronado Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci L Kelly |
|---|---|
| Address | 349 E Coronado Rd, Phoenix, Arizona |
| Phone Number | 6022665678 |
| Fax Number | 6022645646 |
| Sole Proprietor | N |
| Credentials | R.N., F.N. |
NPI Number Detail
| NPI Number | 1912958232 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 349 E Coronado Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 8500415250 |
| Phone Number | 6022665678 |
| Fax Number | 6022645646 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN0604 |
|
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 |
|---|---|---|---|
| 120390 | AZ | GROUP MEDICARE NUMBER | |
| 317047 | AZ | GROUP MEDICAID NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Traci L Kelly by the Centers for Medicare & Medicaid Services?
The Traci L Kelly has been issued the NPI (National Provider Identifier) 1912958232, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Traci L Kelly's physical address?
The Traci L Kelly is physically located at 349 E Coronado Rd, in the city of Phoenix, AZ, with the postal code 8500415250.
What is Traci L Kelly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Traci L Kelly is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
When was the Traci L Kelly's 1912958232 issued?
The Traci L Kelly's 1912958232 was issued on 2006-05-12.
As of what date were the details pertaining to Traci L Kelly last refreshed?
The information related to the Traci L Kelly, including its address, specialty, and other relevant details, was last updated on 2008-05-21.