Kelly Shields in San Diego - Obstetrics & Gynecology

Kelly Shields - NPI 1265638993

Kelly Shields is a Obstetrics & Gynecology in San Diego, California. Kelly Shields practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Kelly Shields is 1265638993. The last update date is 2007-07-08.

Kelly Shields's current location address is 3343 4th Ave, San Diego, California. You can contact this provider via phone number 6192990840 and fax number 6192990892. The mailing address for Kelly Shields is 3343 4th Ave, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Shields
Address 3343 4th Ave, San Diego, California
Phone Number 6192990840
Fax Number 6192990892
Sole Proprietor Y
Credentials CNM

NPI Number Detail

NPI Number 1265638993
Provider Enumeration Date 2007-06-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3343 4th Ave
City San Diego
State California (CA)
Post Code 921035703
Phone Number 6192990840
Fax Number 6192990892

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 363Lx0001X
Licence No CNM12240
Definition:
An advanced practice registered nurse expert in healthcare services related to the female reproductive system across the lifespan.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
619131 CA RN LICENSE

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FAQs about Kelly Shields

What is the unique 10-digit identification code issued to Kelly Shields by the Centers for Medicare & Medicaid Services?

The Kelly Shields has been assigned the NPI (National Provider Identifier) 1265638993 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Kelly Shields is physically located?

The Kelly Shields is physically situated at the following address: 3343 4Th Ave, San Diego, CA, 921035703.

What is Kelly Shields'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 Shields is Obstetrics & Gynecology, and the taxonomy classification code that categorizes this area of expertise is 363Lx0001X.

When was the Kelly Shields's 1265638993 issued?

The Kelly Shields's 1265638993 was issued on 2007-06-21.

As of what date were the details related to Kelly Shields most recently updated or revised?

The information pertaining to Kelly Shields, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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