DR. DANIELLE ELIZABETH KELVAS MD NPI 1396242228

NPI Information

NPI: 1396242228
Provider Name: DR. DANIELLE ELIZABETH KELVAS, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2614 FORUM BLVD STE 100
COLUMBIA, MO
ZIP 65203
Phone: (573) 445-5366
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DR. Danielle Elizabeth Kelvas, MD is a general practice in Columbia, MO. DR. Danielle Elizabeth Kelvas, MD NPI is 1396242228. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2614 FORUM BLVD STE 100
COLUMBIA, MO
ZIP 65203-431
Phone: (573) 445-5366

The NPI 1396242228 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2018 and was last updated on 8/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	208D00000X	General Practice		2020011369	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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