Kelly Corley in Georgetown - Nurse Practitioner

Kelly Corley - NPI 1518122969

Kelly Corley is a Nurse Practitioner in Georgetown, Texas. Kelly Corley practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kelly Corley is 1518122969. The last update date is 2019-02-08.

Kelly Corley's current location address is 104 Gunn Ranch Rd, Georgetown, Texas. You can contact this provider via phone number 8326512110. The mailing address for Kelly Corley is 104 Gunn Ranch Rd, Georgetown, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Corley
Address 104 Gunn Ranch Rd, Georgetown, Texas
Phone Number 8326512110
Fax Number
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1518122969
Provider Enumeration Date 2008-07-25
Last Updated Date 2019-02-08

Provider Mailing Address Detail

Address 104 Gunn Ranch Rd
City Georgetown
State Texas (TX)
Post Code 786332014
Phone Number 8326512110
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 706062
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
706062 TX LICENSE

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FAQs about Kelly Corley

What is the Kelly Corley's unique identification number?

The Kelly Corley has been assigned the NPI (National Provider Identifier) Number 1518122969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Kelly Corley is physically located?

The Kelly Corley is situated at the following address: 104 Gunn Ranch Rd, Georgetown, TX 786332014.

What is Kelly Corley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kelly Corley is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.

On what date did the Kelly Corley receive the assignment of its 1518122969 from the Centers for Medicare & Medicaid Services?

The Kelly Corley was issued its 1518122969 by the Centers for Medicare & Medicaid Services on 2008-07-25.

When was the information related to Kelly Corley most recently updated or refreshed?

The details pertaining to the Kelly Corley, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-02-08.

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