Nicole Rae Kell
Occupational Therapist - Pediatrics
18187 E Via Jardin
Gold Canyon
, Arizona 85218-7518
Nicole Rae Kell
Occupational Therapist - Pediatrics
18187 E Via Jardin
Gold Canyon
, Arizona 85218-7518
(480) 244-3651
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Nicole Rae Kell
- Po Box 442
- Globe, AZ
- Zip : 85502-0442
- Phone : (480) 244-3651
Second Address
- Nicole Rae Kell
- 18187 E Via Jardin
- Gold Canyon, AZ
- Zip : 85218-7518
- Phone : (480) 244-3651
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 4332 | AZ |
National Provider Identifier
| NPI | 1003057928 |
|---|---|
| Provider Name | Nicole Rae Kell |
| First Address | Globe, AZ 85502-0442 |
| Second Address | Gold Canyon, AZ 85218-7518 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2009 |
| Last Update Date | 23/03/2009 |
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.