Kelly A Mundy is a Nurse Practitioner in Memphis, Tennessee. Kelly A Mundy practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kelly A Mundy is 1427228816. The last update date is 2021-04-28.
Kelly A Mundy's current location address is 6077 Primacy Pkwy Ste 140, Memphis, Tennessee. You can contact this provider via phone number 9017258347 and fax number 9012597637. The mailing address for Kelly A Mundy is 6077 Primacy Pkwy Ste 140, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly A Mundy |
|---|---|
| Address | 6077 Primacy Pkwy Ste 140, Memphis, Tennessee |
| Phone Number | 9017258347 |
| Fax Number | 9012597637 |
| Sole Proprietor | N |
| Credentials | FNP, RNFA |
NPI Number Detail
| NPI Number | 1427228816 |
|---|---|
| Provider Enumeration Date | 2008-03-03 |
| Last Updated Date | 2021-04-28 |
Provider Mailing Address Detail
| Address | 6077 Primacy Pkwy Ste 140 |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381195742 |
| Phone Number | 9017258347 |
| Fax Number | 9012597637 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AOO5005 |
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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 |
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What is the Kelly A Mundy's unique identification number?
The Kelly A Mundy has been assigned the NPI (National Provider Identifier) Number 1427228816 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Kelly A Mundy?
The Kelly A Mundy is physically situated at 6077 Primacy Pkwy Ste 140, in the city of Memphis, state of TN, with the postal code 381195742.
What is the Kelly A Mundy's area of specialization and corresponding taxonomy classification?
The Kelly A Mundy's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1427228816 to Kelly A Mundy?
The Kelly A Mundy received its 1427228816 assignment from the Centers for Medicare & Medicaid Services on 2008-03-03.
As of what date was the information regarding Kelly A Mundy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly A Mundy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-28.
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