1841552726 NPI number — WASHINGTON PARISH HEALTH UNIT/FRANKLINTON

Table of content: DR. TIMOTHY LYNN KELLY DDS (NPI 1588653281)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841552726 NPI number — WASHINGTON PARISH HEALTH UNIT/FRANKLINTON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WASHINGTON PARISH HEALTH UNIT/FRANKLINTON
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841552726
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/15/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
120 11TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRANKLINTON
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70438-1161
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-839-5646
Provider Business Mailing Address Fax Number:
985-839-4796

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
120 11TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKLINTON
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70438-1161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-839-5646
Provider Business Practice Location Address Fax Number:
985-839-4796
Provider Enumeration Date:
06/15/2012

Additional Information

Authorized Official

Authorized Official Last Name:
SINGLEY
Authorized Official First Name:
CATHY
Authorized Official Middle Name:
Authorized Official Title or Position:
RN3
Authorized Official Telephone Number:
985-839-5646

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X , with the licence number:  RN105793 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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