Marypat Kelly is a Gerontology in Menlo Park, California. Marypat Kelly practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Marypat Kelly is 1043289523. The last update date is 2007-07-08.
Marypat Kelly's current location address is 1150 Pine St, Menlo Park, California. You can contact this provider via phone number 6504730529. The mailing address for Marypat Kelly is 1150 Pine St, Menlo Park, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marypat Kelly |
|---|---|
| Address | 1150 Pine St, Menlo Park, California |
| Phone Number | 6504730529 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | GNP |
NPI Number Detail
| NPI Number | 1043289523 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1150 Pine St |
|---|---|
| City | Menlo Park |
| State | California (CA) |
| Post Code | 940253455 |
| Phone Number | 6504730529 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 15112 |
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Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
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What is the unique 10-digit identifier code assigned to Marypat Kelly by the Centers for Medicare & Medicaid Services?
The Marypat Kelly has been issued the NPI (National Provider Identifier) 1043289523 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Marypat Kelly's physical address?
The Marypat Kelly is physically located at 1150 Pine St, in the city of Menlo Park, CA, with the postal code 940253455.
What is the Marypat Kelly's area of specialization and corresponding taxonomy classification?
The Marypat Kelly's specialty field is Gerontology, and it falls under the taxonomy code 363Lg0600X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1043289523 to Marypat Kelly?
The Centers for Medicare & Medicaid Services assigned the 1043289523 to Marypat Kelly on 2006-03-16.
When was the information regarding Marypat Kelly most recently updated?
The details pertaining to the Marypat Kelly, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.