SUSAN ELIZABETH KELLY
NPI 1235310061
Specialist in Modesto, CA
- Individual
- Female
- Specialist
About SUSAN KELLY
This page provides the complete NPI Profile along with additional information for Susan Kelly, a provider established in Modesto, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1235310061 assigned on November 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1235310061 Verify this NPI
- Provider Name
- SUSAN ELIZABETH KELLY
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1601 YOSEMITE BLVD SUITE A MODESTO, CA 95354
- Location Phone
- (209) 341-1824
- Location Fax
- (209) 523-1296
- Mailing Address
- 3709 BRIDGEFORD LN APT. #71 MODESTO, CA 95356
- Mailing Phone
- (209) 521-5322
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-20-2007
- Last Update Date
- 11-20-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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The following 19 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235310061, enumerated as an "individual" on November 20, 2007.
The provider is located at 1601 YOSEMITE BLVD SUITE A MODESTO, CA 95354 and the phone number is (209) 341-1824.
Specialist with taxonomy code 174400000X.
