Lori L Kelly is a Gerontology in Roseville, Minnesota. Lori L Kelly practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Lori L Kelly is 1235167503. The last update date is 2012-04-25.
Lori L Kelly's current location address is 2845 Hamline Ave North, Roseville, Minnesota. You can contact this provider via phone number 6516316100 and fax number 6516316343. The mailing address for Lori L Kelly is 2845 Hamline Ave North, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori L Kelly |
|---|---|
| Address | 2845 Hamline Ave North, Roseville, Minnesota |
| Phone Number | 6516316100 |
| Fax Number | 6516316343 |
| Sole Proprietor | N |
| Credentials | RN, CNP |
NPI Number Detail
| NPI Number | 1235167503 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2012-04-25 |
Provider Mailing Address Detail
| Address | 2845 Hamline Ave North |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 55113 |
| Phone Number | 6516316100 |
| Fax Number | 6516316343 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | R1533479 |
|
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 474957000 | MN | -- |
Post Comment/ Review Below
What is the Lori L Kelly's unique identification number?
The Lori L Kelly has been assigned the NPI (National Provider Identifier) Number 1235167503 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Lori L Kelly's facilities are situated?
The facilities of Lori L Kelly are physically located at the following address: 2845 Hamline Ave North, Roseville, MN, 55113.
What is Lori L Kelly's area of expertise and its corresponding taxonomy classification?
The Lori L Kelly's field of specialization is Gerontology, and it falls under the taxonomy code 363Lg0600X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235167503 to Lori L Kelly?
The Centers for Medicare & Medicaid Services originally issued the 1235167503 to Lori L Kelly on 2006-06-28.
When was the information pertaining to Lori L Kelly most recently updated or revised?
The details related to Lori L Kelly, including its address, specialty, and other relevant information, were last updated or revised on 2012-04-25.