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1467162552 NPI number — KELLEY M OWSLEY HOME HEALTH AIDE

NPI Number: 1467162552
Health Care Provider/Practitioner: KELLEY M OWSLEY HOME HEALTH AIDE

Information about “1467162552” NPI (KELLEY M OWSLEY HOME HEALTH AIDE) exists in 1467162552 in HTML format HTML  |  1467162552 in plain Text format TXT  |  1467162552 in PDF (Portable Document Format) PDF  |  1467162552 in an XML format XML  formats.

NPI Number : 1467162552 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467162552",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OWSLEY",
    "FirstName": "KELLEY",
    "MiddleName": "M",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "HOME HEALTH AIDE",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1601 STADIUM BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JEFFERSON CITY",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "65109-2417",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "573-690-8539",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1207 SOUTHGATE LN APT A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JEFFERSON CITY",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "65109-2465",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "573-636-9710",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/29/2022",
    "LastUpdateDate": "11/29/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "374U00000X",
        "TaxonomyName": "Home Health Aide",
        "LicenseNumber": "20222510P",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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