KELLY HAIR (NPI# 1013038082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013038082 |
| Entity Type | Individual |
| Full Name | KELLY HAIR |
| Credential | MD |
| Practice Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8709724000 |
| Practice Fax Number | 8709724968 |
| Mailing Telephone | 8709724000 |
| Mailing Fax Number | 8709724968 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
E5057 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 172431001 | 05 |
| Street Address |
2707 BROWNS LN |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-7213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669447702 | Jyothsna Kumar | Psychiatry & Neurology | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2006-02-22 |
| 1043823552 | Sheila Mckenzie | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-25 |
| 1245841592 | Skyler Prunty | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1053922302 | Matheu Turner | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1245841576 | Tatyana Barber | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1124643903 | Grace Williams | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-06-08 |
| 1679106231 | Arthur Paul Bruce | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-02-21 |
| 1619500139 | Antonio Carlos De Almeida Dos Santos | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-02-13 |
| 1518599091 | Marcie L Tuggle | Nurse Practitioner | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-02-12 |
| 1215568522 | Jessica Aubrie Dacus | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730304874 | Cori Anne Dyson | Psychiatry & Neurology | 820 East Matthews, Suite F, Jonesboro, AR 72401 | 2007-04-16 |
| 1669447702 | Jyothsna Kumar | Psychiatry & Neurology | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2006-02-22 |
| 1982058780 | Danny Vo Tran | Psychiatry & Neurology | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2016-04-18 |
| 1396139036 | Courtney Howard | Psychiatry & Neurology | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2015-03-19 |
| 1578865390 | Larry S. Felts, M.d. Pa | Psychiatry & Neurology | 4508 Stadium Blvd, Suite A, Jonesboro, AR 72404-9675 | 2010-11-30 |
| 1871732404 | Patricia Ann Jones | Psychiatry & Neurology | 2400 Mount Zion Parkway, Southwood Dept of Behavioral Health, Jonesboro, GA 30236 | 2009-02-04 |
| 1134383680 | Sarita Subba | Psychiatry & Neurology | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2008-07-14 |
| 1235302399 | John Allen Burnett | Psychiatry & Neurology | 1815 Pleasant Grove Road, Jonesboro, AR 72401-7870 | 2008-04-10 |
| 1538367479 | Erica Danette Smith | Psychiatry & Neurology | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-07-03 |
| 1366651036 | Eloise Estelle Weeks | Psychiatry & Neurology | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2007-05-21 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.