Michael C Kelly in Lacey - Nurse Practitioner

Michael C Kelly - NPI 1760425201

Michael C Kelly is a Nurse Practitioner in Lacey, Washington. Michael C Kelly practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Michael C Kelly is 1760425201. The last update date is 2021-07-06.

Michael C Kelly's current location address is Po Box 5007, Lacey, Washington. You can contact this provider via phone number 8005990166. The mailing address for Michael C Kelly is Po Box 5007, Lacey, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael C Kelly
Address Po Box 5007, Lacey, Washington
Phone Number 8005990166
Fax Number
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1760425201
Provider Enumeration Date 2006-06-13
Last Updated Date 2021-07-06

Provider Mailing Address Detail

Address Po Box 5007
City Lacey
State Washington (WA)
Post Code 985095007
Phone Number 8005990166
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No AP30006322
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
8906877 WA CRIME VICTIMS
6059KE REGENCE BS
199382 WA L & I
9635574 WA --

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FAQs about Michael C Kelly

What is the unique 10-digit identifier code assigned to Michael C Kelly by the Centers for Medicare & Medicaid Services?

The Michael C Kelly has been issued the NPI (National Provider Identifier) 1760425201 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Michael C Kelly?

The Michael C Kelly is physically situated at Po Box 5007, in the city of Lacey, state of WA, with the postal code 985095007.

What is the area of specialization for Michael C Kelly, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michael C Kelly is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.

On what date was the 1760425201 assigned to Michael C Kelly?

The Michael C Kelly was issued its 1760425201 on 2006-06-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Michael C Kelly, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Michael C Kelly, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-07-06.

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