Shannon M Kelly-Schug in St Louis Park - Gerontology
Shannon M Kelly-Schug - NPI 1891779567
Shannon M Kelly-Schug is a Gerontology in St Louis Park, Minnesota. Shannon M Kelly-Schug practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Shannon M Kelly-Schug is 1891779567. The last update date is 2013-02-13.
Shannon M Kelly-Schug's current location address is 3850 Park Nicollet Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529935041. The mailing address for Shannon M Kelly-Schug is 3850 Park Nicollet Blvd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannon M Kelly-Schug |
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Address | 3850 Park Nicollet Blvd, St Louis Park, Minnesota |
Phone Number | 9529935041 |
Fax Number | |
Sole Proprietor | N |
Credentials | G.N.P. |
NPI Number Detail
NPI Number | 1891779567 |
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Provider Enumeration Date | 2005-12-06 |
Last Updated Date | 2013-02-13 |
Provider Mailing Address Detail
Address | 3850 Park Nicollet Blvd |
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City | St Louis Park |
State | Minnesota (MN) |
Post Code | 554162527 |
Phone Number | 9529935041 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Gerontology |
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Taxonomy | 363Lg0600X |
Licence No | R120875-9 |
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
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What is the Shannon M Kelly-Schug's 1891779567?
The Shannon M Kelly-Schug's NPI (National Provider Identifier) Number is 1891779567. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shannon M Kelly-Schug's physical address?
The Shannon M Kelly-Schug is physically located at 3850 Park Nicollet Blvd, in the city of St Louis Park, MN, with the postal code 554162527.
What is the Shannon M Kelly-Schug's specialty and taxonomy code?
The Shannon M Kelly-Schug's specialty is Gerontology, and the corresponding taxonomy code is 363Lg0600X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891779567 to Shannon M Kelly-Schug?
The Shannon M Kelly-Schug received its 1891779567 assignment from the Centers for Medicare & Medicaid Services on 2005-12-06.
When was the information related to Shannon M Kelly-Schug most recently updated or refreshed?
The details pertaining to the Shannon M Kelly-Schug, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-02-13.