Kelly Mead Gaughen
D.O. | Pediatrics | Female
Kelly Mead Gaughen, D.O. is a Canton, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kelly Mead Gaughen is
919 2nd St Ne, Canton, Ohio - 44704-1132. She can be contacted on phone at
330-453-3386.
Kelly Mead Gaughen is a sole proprietor of her business.
NPI number (Unique professional ID) for Kelly Mead Gaughen is
1184988008 which was assigned by NPPES on 25 Jun, 2012 and it was last updated on 21 Jul, 2022.
Kelly Mead Gaughen license number is
34.012728 for Pediatrics (208000000X) in Ohio.
Kelly Mead Gaughen is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kelly Mead Gaughen basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kelly Mead Gaughen |
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| Credential : | D.O. |
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| Gender : | Female |
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Business Address:
Kelly Mead Gaughen 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 : | 919 2nd St Ne
Canton, OH, 44704-1132
United States |
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| Phone Number : | 330-453-3386 |
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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 : | 1184988008 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jun, 2012 |
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| Last Updated On : | 21 Jul, 2022 |
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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 Kelly Mead Gaughen are as mentioned. Primary taxonomy code for Kelly Mead Gaughen, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 036.137326 | IL |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | AC3890313-T050 | IL |
| 208000000X | Pediatrics | Yes | 34.012728 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Kelly Mead Gaughen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 270950 | MEDICAID | OH | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
4440 W 95TH ST,
OAK LAWN, IL, 60453-2600
United States | OAK LAWN, IL | 708-684-3296 |
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 : | 1721 19th St
Cuyahoga Falls, OH, 44223-1845
United States |
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| Phone Number : | 406-579-2912 |
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Business Location:
Patients can refer following map for directions to
Kelly Mead Gaughen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.