Richard Kelley in Modesto - Nurse Practitioner
Richard Kelley - NPI 1558316786
Richard Kelley is a Nurse Practitioner in Modesto, California. Richard Kelley practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Richard Kelley is 1558316786. The last update date is 2022-01-03.
Richard Kelley's current location address is 1441 Florida Ave, Modesto, California. You can contact this provider via phone number 2095763609. The mailing address for Richard Kelley is 1441 Florida Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Kelley |
|---|---|
| Address | 1441 Florida Ave, Modesto, California |
| Phone Number | 2095763609 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1558316786 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2022-01-03 |
Provider Mailing Address Detail
| Address | 1441 Florida Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953504404 |
| Phone Number | 2095763609 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP13052 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CD069A | CA | GROUP PTAN GREATER MODESTO MED |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Richard Kelley by the Centers for Medicare & Medicaid Services?
The Richard Kelley has been issued the NPI (National Provider Identifier) 1558316786, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Richard Kelley's facilities are situated?
The facilities of Richard Kelley are physically located at the following address: 1441 Florida Ave, Modesto, CA, 953504404.
What is the Richard Kelley's specialty and taxonomy code?
The Richard Kelley's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
When was the Richard Kelley's 1558316786 issued?
The Richard Kelley's 1558316786 was issued on 2006-05-24.
As of what date was the information pertaining to Richard Kelley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard Kelley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-01-03.
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