Kelly S Thayer is a Family in Tomah, Wisconsin. Kelly S Thayer practices all healthcare services and medical treatments related to Family. The NPI Number for Kelly S Thayer is 1780748343. The last update date is 2021-01-19.
Kelly S Thayer's current location address is 501 Gopher Dr, Tomah, Wisconsin. You can contact this provider via phone number 6083722181. The mailing address for Kelly S Thayer is 501 Gopher Dr, Tomah, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly S Thayer |
|---|---|
| Address | 501 Gopher Dr, Tomah, Wisconsin |
| Phone Number | 6083722181 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APNP |
NPI Number Detail
| NPI Number | 1780748343 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2021-01-19 |
Provider Mailing Address Detail
| Address | 501 Gopher Dr |
|---|---|
| City | Tomah |
| State | Wisconsin (WI) |
| Post Code | 546604513 |
| Phone Number | 6083722181 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 2899 |
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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 unique identifier code issued to Kelly S Thayer by the Centers for Medicare & Medicaid Services?
The Kelly S Thayer has been assigned the NPI (National Provider Identifier) 1780748343. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kelly S Thayer's facilities are geographically located?
The facilities of Kelly S Thayer are physically situated at the following location: 501 Gopher Dr, Tomah, WI, 546604513.
What is Kelly S Thayer's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly S Thayer is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
When was the Kelly S Thayer's 1780748343 issued?
The Kelly S Thayer's 1780748343 was issued on 2006-12-20.
As of what date were the details pertaining to Kelly S Thayer last refreshed?
The information related to the Kelly S Thayer, including its address, specialty, and other relevant details, was last updated on 2021-01-19.