Dana Lynne Kelly is a Emergency in Modesto, California. Dana Lynne Kelly practices all healthcare services and medical treatments related to Emergency. The NPI Number for Dana Lynne Kelly is 1326020397. The last update date is 2007-07-08.
Dana Lynne Kelly's current location address is 4301 North Star Way, Modesto, California. You can contact this provider via phone number 2093422300 and fax number 2095244240. The mailing address for Dana Lynne Kelly is 4301 North Star Way, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dana Lynne Kelly |
|---|---|
| Address | 4301 North Star Way, Modesto, California |
| Phone Number | 2093422300 |
| Fax Number | 2095244240 |
| Sole Proprietor | X |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1326020397 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4301 North Star Way |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 95356 |
| Phone Number | 2093422300 |
| Fax Number | 2095244240 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency |
|---|---|
| Taxonomy | 364Se0003X |
| Licence No | PA13877 |
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Definition: An advanced practice registered nurse with expertise in emergency and trauma nursing care. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0PA138770 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dana Lynne Kelly by the Centers for Medicare & Medicaid Services?
The Dana Lynne Kelly has been assigned the NPI (National Provider Identifier) 1326020397. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dana Lynne Kelly is geographically located?
The Dana Lynne Kelly is physically situated at the following location: 4301 North Star Way, Modesto, CA, 95356.
What is Dana Lynne Kelly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dana Lynne Kelly is Emergency, and the taxonomy code that categorizes this field of expertise is 364Se0003X.
When did Dana Lynne Kelly receive its 1326020397 assignment?
The Dana Lynne Kelly was assigned its 1326020397 on 2005-11-16, which is the date when this unique identifier was issued to the organization.
As of what date were the Dana Lynne Kelly's details last updated?
The information pertaining to the Dana Lynne Kelly, including its address, specialty, and other details, was most recently updated on 2007-07-08.