Susan Kettlewell in Tucson - Respite Care, Mental Illness, Child

Susan Kettlewell - NPI 1841413382

Susan Kettlewell is a Respite Care, Mental Illness, Child in Tucson, Arizona. Susan Kettlewell practices all healthcare services and medical treatments related to Respite Care, Mental Illness, Child. The NPI Number for Susan Kettlewell is 1841413382. The last update date is 2007-07-26.

Susan Kettlewell's current location address is 610 N 2nd Ave, Tucson, Arizona. You can contact this provider via phone number 5206244931. The mailing address for Susan Kettlewell is 610 N 2nd Ave, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Kettlewell
Address 610 N 2nd Ave, Tucson, Arizona
Phone Number 5206244931
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1841413382
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-26

Provider Mailing Address Detail

Address 610 N 2nd Ave
City Tucson
State Arizona (AZ)
Post Code 857057802
Phone Number 5206244931
Fax Number

Provider's Primary Taxonomy Detail

Speciality Respite Care, Mental Illness, Child
Taxonomy 385Hr2055X
Definition:
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
194132 AZ --

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FAQs about Susan Kettlewell

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

The Susan Kettlewell has been assigned the NPI (National Provider Identifier) 1841413382 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Susan Kettlewell is located?

The Susan Kettlewell is situated at the following address: 610 N 2Nd Ave, Tucson, AZ, 857057802.

What is Susan Kettlewell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Susan Kettlewell's area of specialization is Respite Care, Mental Illness, Child, and the corresponding taxonomy code that categorizes this field of practice is 385Hr2055X.

On what date did the Susan Kettlewell receive the assignment of its 1841413382 from the Centers for Medicare & Medicaid Services?

The Susan Kettlewell was issued its 1841413382 by the Centers for Medicare & Medicaid Services on 2007-04-11.

When was the Susan Kettlewell's information last updated?

The Susan Kettlewell's information was last updated on 2007-07-26.

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