Edward Kirk Neely
MD | Pediatric Endocrinology | Male
Edward Kirk Neely, MD is a San Jose, California based Pediatric doctor with medical specialization in
Pediatric Endocrinology.
Current practice location of Edward Kirk Neely is
751 S Bascom Ave, San Jose, California - 95128-2604. He can be contacted on phone at
408-885-7422.
Edward Kirk Neely is a sole proprietor of his business.
NPI number (Unique professional ID) for Edward Kirk Neely is
1710962998 which was assigned by NPPES on 12 Dec, 2005 and it was last updated on 15 May, 2012.
Edward Kirk Neely license number is
G55037 for Pediatrics Pediatric Endocrinology (2080P0205X) in California.
Edward Kirk Neely provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Edward Kirk Neely basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Endocrinology |
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| Provider Name : | Edward Kirk Neely |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Edward Kirk Neely address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 751 S Bascom Ave
San Jose, CA, 95128-2604
United States |
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| Phone Number : | 408-885-7422 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1710962998 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Dec, 2005 |
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| Last Updated On : | 15 May, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edward Kirk Neely are as mentioned. Primary taxonomy code for Edward Kirk Neely, MD is
2080P0205X (Pediatrics Pediatric Endocrinology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0205X | Pediatrics Pediatric Endocrinology | Yes | G55037 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Edward Kirk Neely such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00G550370 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 576 Cresta Vista Ln
Portola Valley, CA, 94028-7729
United States |
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| Phone Number : | 650-723-5791 |
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Business Location:
Patients can refer following map for directions to
Edward Kirk Neely practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.