Mr. Kelly Lon Drevecky
Occupational Therapist Occupational Therapist - Pediatrics Occupational Therapist - Neurorehabilitation
700 Harmony St Nw
Minot
, North Dakota 58703-2892
Mr. Kelly Lon Drevecky
Occupational Therapist Occupational Therapist - Pediatrics Occupational Therapist - Neurorehabilitation
700 Harmony St Nw
Minot
, North Dakota 58703-2892
(701) 839-1311
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Neurorehabilitation
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mr. Kelly Lon Drevecky
- 700 Harmony St Nw
- Minot, ND
- Zip : 58703-2892
- Fax : (701) 839-1311
- Phone : (701) 720-5355
Second Address
- Mr. Kelly Lon Drevecky
- 700 Harmony St Nw
- Minot, ND
- Zip : 58703-2892
- Fax : (701) 839-1311
- Phone : (701) 720-5355
Reviews
FAQs
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What type of doctor is Mr. Kelly Lon Drevecky
In what state does Mr. Kelly Lon Drevecky practice in?
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What is Mr. Kelly Lon Drevecky ’s gender?
Is Mr. Kelly Lon Drevecky a sole practitioner?
Is Mr. Kelly Lon Drevecky accepting new patients?
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Does Mr. Kelly Lon Drevecky have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 612 | ND |
| N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 612 | ND |
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 612 | ND |
National Provider Identifier
| NPI | 1457303695 |
|---|---|
| Provider Name | Mr. Kelly Lon Drevecky |
| First Address | Minot, ND 58703-2892 |
| Second Address | Minot, ND 58703-2892 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2006 |
| Last Update Date | 07/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 50609 | (05) | ND |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.