KELLY JEAN FORE (NPI# 1053518118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053518118 |
Entity Type | Individual |
Full Name | KELLY JEAN FORE |
Credential | BC-HIS |
Practice Address |
802 S Canton Ave Springfield MO 65802-4978 |
Practice Telephone | 4178649886 |
Mailing Telephone | 4178649886 |
Enumeration Date | 2007-06-29 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 237700000X | Hearing Instrument Specialist | 2001032028 | MO | Speech, Language and Hearing Service Providers |
Street Address |
802 S CANTON AVE |
City | SPRINGFIELD |
State | MO |
Zip Code | 65802-4978 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
1568945103 | Ficom | Non-Pharmacy Dispensing Site | 1308 North Glenstone Avenue, Springfield, MO 65802 | 2018-09-10 |
1982194775 | Karla Caballero | Marriage & Family Therapist | 8627 Montant Fort Way, 145, Sprinfield, MO 65802 | 2018-05-16 |
1780191809 | Tiffany Chawntay Coryell | Pharmacist | 1134 North Scarlett Way, Springfield, MO 65802 | 2018-01-10 |
1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
1346619103 | Jill A Knight | Occupational Therapist | 1601 E. Pythian, Green Valley State School, Springfield, MO 65802 | 2015-09-22 |
1447653258 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3720 E Sunshine St, Springfield, MO 65802 | 2014-10-07 |
Find all providers in zip 65802 |
Taxonomy Code | 237700000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Hearing Instrument Specialist |
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407329881 | Jessica Betts | Hearing Instrument Specialist | 1699 N Bechtle Ave, Springfield, OH 45504-1568 | 2019-01-08 |
1235615345 | Brett Jerrod Griffith | Hearing Instrument Specialist | 1922 N Limestone St, Springfield, OH 45503-2648 | 2018-07-12 |
1093238800 | Lisa Ann Elmore | Hearing Instrument Specialist | 1001 E Chestnut Expy, Springfield, MO 65802-3625 | 2017-07-24 |
1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
1548504665 | Kenneth Dale Brann Jr. | Hearing Instrument Specialist | 2060 W Iles Ave, Suite C, Springfield, IL 62704-4191 | 2012-11-15 |
1619243730 | Robert T Guison | Hearing Instrument Specialist | 3552 S Campbell Ave, Springfield, MO 65807-5183 | 2012-03-23 |
1801191903 | Hanns Christopher Bell | Hearing Instrument Specialist | 2943 West White Oak Drive #6, Springfield, IL 62704 | 2011-01-20 |
1528296316 | Harley Lee Goodwin | Hearing Instrument Specialist | 1936 E Sunshine St, Ste B, Springfield, MO 65804-1528 | 2009-06-30 |
1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
1477762193 | Chandra. Renee Goodwin | Hearing Instrument Specialist | 1927 S National Ave, Ste. A, Springfield, MO 65804-2219 | 2007-05-21 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65802 |
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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.