Kelly Susanne Mask in Ocean Springs - Family
Kelly Susanne Mask - NPI 1992836423
Kelly Susanne Mask is a Family in Ocean Springs, Mississippi. Kelly Susanne Mask practices all healthcare services and medical treatments related to Family. The NPI Number for Kelly Susanne Mask is 1992836423. The last update date is 2023-01-19.
Kelly Susanne Mask's current location address is 2113 Government St, Ocean Springs, Mississippi. You can contact this provider via phone number 2288180025 and fax number 2288180027. The mailing address for Kelly Susanne Mask is 2113 Government St, Ocean Springs, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Susanne Mask |
|---|---|
| Address | 2113 Government St, Ocean Springs, Mississippi |
| Phone Number | 2288180025 |
| Fax Number | 2288180027 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1992836423 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2023-01-19 |
Provider Mailing Address Detail
| Address | 2113 Government St |
|---|---|
| City | Ocean Springs |
| State | Mississippi (MS) |
| Post Code | 395643954 |
| Phone Number | 2288180025 |
| Fax Number | 2288180027 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R860508 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Kelly Susanne Mask's 1992836423?
The Kelly Susanne Mask's NPI (National Provider Identifier) Number is 1992836423. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kelly Susanne Mask?
The Kelly Susanne Mask is situated at 2113 Government St, in the city of Ocean Springs, state of MS, with the zip code 395643954.
What is the Kelly Susanne Mask's specialty and taxonomy code?
The Kelly Susanne Mask's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Kelly Susanne Mask receive its 1992836423 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Susanne Mask was assigned its 1992836423 by the Centers for Medicare & Medicaid Services on 2007-03-08.
When was the information related to Kelly Susanne Mask most recently updated or refreshed?
The details pertaining to the Kelly Susanne Mask, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-01-19.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA