Kelly Marcum is a Family in Show Low, Arizona. Kelly Marcum practices all healthcare services and medical treatments related to Family. The NPI Number for Kelly Marcum is 1619973930. The last update date is 2013-12-30.
Kelly Marcum's current location address is 2200 E Show Low Lake Rd, Show Low, Arizona. You can contact this provider via phone number 9285376978 and fax number 9285374205. The mailing address for Kelly Marcum is 2200 E Show Low Lake Rd, Show Low, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Marcum |
|---|---|
| Address | 2200 E Show Low Lake Rd, Show Low, Arizona |
| Phone Number | 9285376978 |
| Fax Number | 9285374205 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1619973930 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2013-12-30 |
Provider Mailing Address Detail
| Address | 2200 E Show Low Lake Rd |
|---|---|
| City | Show Low |
| State | Arizona (AZ) |
| Post Code | 859010 |
| Phone Number | 9285376978 |
| Fax Number | 9285374205 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN036514 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly Marcum?
The Kelly Marcum has been issued the NPI (National Provider Identifier) 1619973930 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kelly Marcum's physical address?
The Kelly Marcum is physically located at 2200 E Show Low Lake Rd, in the city of Show Low, AZ, with the postal code 859010.
What is the Kelly Marcum's area of specialization and corresponding taxonomy classification?
The Kelly Marcum's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Kelly Marcum receive the assignment of its 1619973930 from the Centers for Medicare & Medicaid Services?
The Kelly Marcum was issued its 1619973930 by the Centers for Medicare & Medicaid Services on 2005-06-22.
When was the information pertaining to Kelly Marcum most recently updated or revised?
The details related to Kelly Marcum, including its address, specialty, and other relevant information, were last updated or revised on 2013-12-30.