ANDREA KELLY (NPI# 1023098811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023098811 |
| Entity Type | Individual |
| Full Name | ANDREA KELLY |
| Credential | DDS |
| Practice Address |
2908 Auburn Rd Huntington WV 25704-2715 |
| Mailing Address |
Po Box 1680 Huntington WV 25717-1680 |
| Practice Telephone | 3047815800 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2013-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3487 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2408513 | 05 | |
| KY | 60002029 | 05 | |
| WV | 4002196000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874752 | Andrea A Kelly | Marriage & Family Therapist | 1680 Stone Canyon Dr, Roseville, CA 95661-4041 | 2019-01-04 |
| 1689956641 | Andrea Maluta Kelly | Physician Assistant | 2015 Randolph Rd Ste 208, Charlotte, NC 28207-1241 | 2011-09-15 |
| 1487935516 | Andrea Lee Kelly | Psychologist | 444 South Union St., Suite 230, Burlington, VT 05401 | 2011-09-02 |
| 1104135979 | Andrea W Kelly | Registered Nurse | 704 Old Lilesville Road, Wadesboro, NC 28170-2820 | 2010-09-28 |
| 1730533019 | Andrea Kelly | Recreation Therapist | 1400 Noyes St, Utica, NY 13502-3854 | 2016-04-22 |
| 1962830737 | Andrea Kelly | Physical Therapist | 100 Sprunt St, Chapel Hill, NC 27517-7811 | 2013-10-14 |
| 1891050720 | Andrea Isabel Kelly | Behavioral Analyst | 11240 Waples Mill Road, Suite 102, Fairfax, VA 22030 | 2012-07-06 |
| 1720096225 | Andrea Kelly | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Endocrinology, Philadelphia, PA 19104-4319 | 2006-08-03 |
| 1528080363 | Andrea Kelly | Specialist | 75 Francis St, Boston, MA 02115-6110 | 2006-07-24 |
| Street Address |
2908 AUBURN RD |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25704-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386993699 | Lonna Moore | Nurse Practitioner | 2908 Auburn Rd, Huntington, WV 25704-2715 | 2012-08-31 |
| 1275802886 | Valley Health Systems, Inc. | Family Medicine | 2908 Auburn Rd, Huntington, WV 25704-2715 | 2011-12-28 |
| 1558693853 | Valley Health Systems Inc | Dentist | 2908 Auburn Rd, Huntington, WV 25704-2715 | 2010-02-11 |
| 1285891838 | Valley Health Systems Inc | Registered Nurse | 2908 Auburn Rd, Huntington, WV 25704-2715 | 2008-05-21 |
| 1205801396 | Valley Health Systems Inc | Psychologist | 2908 Auburn Rd, Huntington, WV 25704 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354161 | Sherry Jean Short | Technician | 315 1/2 W 13th Street, Huntington, WV 25704 | 2020-10-22 |
| 1063029940 | Kathern Sullivan | Technician | 2950 Apt. B1 Auburn Rd, Huntington, WV 25704 | 2020-09-25 |
| 1932713229 | John Webb | Technician | 3717 Lot 17 Rte. 75, Huntington, WV 25704 | 2020-09-03 |
| 1679114458 | Betty Bentley | Technician | 1588 Spring Valley Drive, Huntington, WV 25704 | 2019-10-03 |
| 1568948958 | Jessica E Hall | Assistant Behavior Analyst | 4614 Waverly Road, Huntington, WV 25704 | 2018-07-18 |
| 1538662457 | Abayomi Adeyi | Nurse Practitioner | Huntington Va Medical Center 1540 Spring Valley Drive, Huntington, WV 25704 | 2018-03-16 |
| 1851807242 | Shirley Meldave Ross | Technician | 1591 Buffalo Creek Road, Huntington, WV 25704 | 2017-12-20 |
| 1245772045 | Emily Marie Miller | Massage Therapist | 3637 Hughes St, Huntington, WV 25704 | 2016-11-09 |
| 1265785737 | William M Jennings IIi | Internal Medicine | 1448 10th Avenue, Suite 100, Huntington, WV 25704 | 2012-10-22 |
| 1477709921 | Huntington Va Medical Center | General Acute Care Hospital | 540 Spring Valley Dr, Huntington, WV 25704 | 2008-08-15 |
| Find all providers in zip 25704 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188130 | Glen Cove Dental P.C. | Dentist | 44 Elm St Ste 1, Huntington, NY 11743-3403 | 2020-09-11 |
| 1639788078 | Miranda Jordan Kimble | Dentist | 422 Kinetic Dr Ste A, Huntington, WV 25701-5268 | 2020-07-30 |
| 1790303931 | Brennan Bish | Dentist | 451 Kinetic Dr, Huntington, WV 25701-5270 | 2020-07-13 |
| 1679819882 | Thomas Alphonsus Shea | Dentist | 42 Woodbury Rd, Huntington, NY 11743-4132 | 2012-12-14 |
| 1932456662 | Robert M Sachs | Dentist | 23 E Carver St, Huntington, NY 11743-3409 | 2012-08-13 |
| 1326393067 | Valley Health Systems Inc | Dentist | 3377 Us Route 60 E, Huntington, WV 25705 | 2012-07-18 |
| 1902176878 | Robert A Shea | Dentist | 241 W Neck Rd, Huntington, NY 11743-2458 | 2012-01-09 |
| 1083911465 | Dr. Steven B. Nicholas, Ltd. | Dentist | 5187 Us Route 60 Ste 7, Huntington, WV 25705-2076 | 2011-02-19 |
| 1447568555 | Valley Health Systems Inc | Dentist | 925 3rd St, Huntington, WV 25701-3145 | 2010-09-23 |
| 1518275627 | Valley Health Systems | Dentist | 930 2nd Street, Huntington, WV 25701 | 2010-09-23 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25704 |
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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.