Kelly Steagall in Jacksonville - Pediatrics

Kelly Steagall - NPI 1912954280

Kelly Steagall is a Pediatrics in Jacksonville, Florida. Kelly Steagall practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelly Steagall is 1912954280. The last update date is 2007-07-08.

Kelly Steagall's current location address is 1233 Lane Ave S, Jacksonville, Florida. You can contact this provider via phone number 9047811163 and fax number 9047814187. The mailing address for Kelly Steagall is 1233 Lane Ave S, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Steagall
Address 1233 Lane Ave S, Jacksonville, Florida
Phone Number 9047811163
Fax Number 9047814187
Sole Proprietor X
Credentials ARNP

NPI Number Detail

NPI Number 1912954280
Provider Enumeration Date 2006-05-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1233 Lane Ave S
City Jacksonville
State Florida (FL)
Post Code 322056284
Phone Number 9047811163
Fax Number 9047814187

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No ARNP9229641
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

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FAQs about Kelly Steagall

What is the unique identification code assigned to Kelly Steagall by the Centers for Medicare & Medicaid Services?

The Kelly Steagall has been issued the NPI (National Provider Identifier) 1912954280. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kelly Steagall's facilities are geographically located?

The facilities of Kelly Steagall are physically situated at the following location: 1233 Lane Ave S, Jacksonville, FL, 322056284.

What is Kelly Steagall's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kelly Steagall is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1912954280 to Kelly Steagall?

The Centers for Medicare & Medicaid Services originally issued the 1912954280 to Kelly Steagall on 2006-05-30.

When was the Kelly Steagall's information last updated?

The Kelly Steagall's information was last updated on 2007-07-08.

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