Kelley Easley Dotson in Mena - Pediatrics
Kelley Easley Dotson - NPI 1902064272
Kelley Easley Dotson is a Pediatrics in Mena, Arkansas. Kelley Easley Dotson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelley Easley Dotson is 1902064272. The last update date is 2013-12-23.
Kelley Easley Dotson's current location address is 1102 Crestwood Cir, Mena, Arkansas. You can contact this provider via phone number 4793947301 and fax number 4793940371. The mailing address for Kelley Easley Dotson is 1102 Crestwood Cir, Mena, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley Easley Dotson |
|---|---|
| Address | 1102 Crestwood Cir, Mena, Arkansas |
| Phone Number | 4793947301 |
| Fax Number | 4793940371 |
| Sole Proprietor | N |
| Credentials | APN PNP-BC |
NPI Number Detail
| NPI Number | 1902064272 |
|---|---|
| Provider Enumeration Date | 2008-05-23 |
| Last Updated Date | 2013-12-23 |
Provider Mailing Address Detail
| Address | 1102 Crestwood Cir |
|---|---|
| City | Mena |
| State | Arkansas (AR) |
| Post Code | 719535513 |
| Phone Number | 4793947301 |
| Fax Number | 4793940371 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | AO1612 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 178404758 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kelley Easley Dotson by the Centers for Medicare & Medicaid Services?
The Kelley Easley Dotson has been assigned the NPI (National Provider Identifier) 1902064272 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kelley Easley Dotson's physical address?
The Kelley Easley Dotson is physically located at 1102 Crestwood Cir, in the city of Mena, AR, with the postal code 719535513.
What is Kelley Easley Dotson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelley Easley Dotson's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902064272 to Kelley Easley Dotson?
The Centers for Medicare & Medicaid Services originally issued the 1902064272 to Kelley Easley Dotson on 2008-05-23.
As of what date were the details related to Kelley Easley Dotson most recently updated or revised?
The information pertaining to Kelley Easley Dotson, including its address, specialty, and other relevant details, was last updated or revised on 2013-12-23.
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