Kellie A Backman is a Family in La Crosse, Wisconsin. Kellie A Backman practices all healthcare services and medical treatments related to Family. The NPI Number for Kellie A Backman is 1639171895. The last update date is 2020-02-06.
Kellie A Backman's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300. The mailing address for Kellie A Backman is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellie A Backman |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APNP |
NPI Number Detail
| NPI Number | 1639171895 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2020-02-06 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 5460154290 |
| Phone Number | 6087827300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 7082 |
|
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 |
|---|---|---|---|
| 43870600 | WI | -- |
Post Comment/ Review Below
What is the Kellie A Backman's 1639171895?
The Kellie A Backman's NPI (National Provider Identifier) Number is 1639171895. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kellie A Backman's facilities are geographically located?
The facilities of Kellie A Backman are physically situated at the following location: 1836 South Ave, La Crosse, WI, 5460154290.
What is the Kellie A Backman's area of specialization and corresponding taxonomy classification?
The Kellie A Backman's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
When did Kellie A Backman receive its 1639171895 assignment?
The Kellie A Backman was assigned its 1639171895 on 2005-06-01, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Kellie A Backman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kellie A Backman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-02-06.
NPI Number: 1952305765
Address: 30055 Northwestern Hwy Ste 260, Farmington Hills, MI