Kelly Doyle-Matta in Fairfield - Medical

Kelly Doyle-Matta - NPI 1598952335

Kelly Doyle-Matta is a Medical in Fairfield, California. Kelly Doyle-Matta practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelly Doyle-Matta is 1598952335. The last update date is 2012-03-17.

Kelly Doyle-Matta's current location address is 2201 Courage Dr, Fairfield, California. You can contact this provider via phone number 7077842010. The mailing address for Kelly Doyle-Matta is 2201 Courage Dr, Fairfield, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Doyle-Matta
Address 2201 Courage Dr, Fairfield, California
Phone Number 7077842010
Fax Number
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1598952335
Provider Enumeration Date 2007-09-25
Last Updated Date 2012-03-17

Provider Mailing Address Detail

Address 2201 Courage Dr
City Fairfield
State California (CA)
Post Code 945336733
Phone Number 7077842010
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA10957
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Kelly Doyle-Matta

What is the unique provider identifier assigned to Kelly Doyle-Matta?

The Kelly Doyle-Matta has been issued the NPI (National Provider Identifier) 1598952335 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Kelly Doyle-Matta's physical address?

The Kelly Doyle-Matta is physically located at 2201 Courage Dr, in the city of Fairfield, CA, with the postal code 945336733.

What is the Kelly Doyle-Matta's specialty and taxonomy code?

The Kelly Doyle-Matta's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1598952335 to Kelly Doyle-Matta?

The Centers for Medicare & Medicaid Services assigned the 1598952335 to Kelly Doyle-Matta on 2007-09-25.

As of what date was the information pertaining to Kelly Doyle-Matta, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kelly Doyle-Matta, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-03-17.

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