MS. KELLY LYNN PALMER (NPI# 1053612663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053612663 |
| Entity Type | Individual |
| Full Name | MS. KELLY LYNN PALMER |
| Practice Address |
504 E 24th St Tishomingo OK 73460-3214 |
| Practice Telephone | 9038150843 |
| Practice Fax Number | 5803719944 |
| Mailing Telephone | 9038150843 |
| Mailing Fax Number | 5803719944 |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100746580E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821559568 | Kelly Noelle Palmer | Registered Nurse | 106 Jamie Ln, East Falmouth, MA 02536-5175 | 2019-03-26 |
| 1518421551 | Kelly Ann Palmer | Social Worker | 727 8th St, Baraboo, WI 53913-1794 | 2019-01-23 |
| 1174027668 | Kelly Palmer | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-01-e316a, Temple, TX 76508-0001 | 2018-03-20 |
| 1568976348 | Kelly Palmer | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2017-12-01 |
| 1437607439 | Kelly Palmer | Substance Abuse Rehabilitation Facility | 2743 Orange St, Riverside, CA 92501-2538 | 2016-09-19 |
| 1851792584 | Kelly Laurel Palmer | Registered Nurse | 11600 W 2nd Pl, Lakewood, CO 80228 | 2014-09-12 |
| 1770906026 | Kelly Jean Palmer | Dental Assistant | 12711 Se Mill Plain Blvd, Vancouver, WA 98684-6053 | 2014-01-22 |
| 1982988564 | Kelly Palmer | Occupational Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2011-09-30 |
| 1881926483 | Kelly M Palmer | Occupational Therapy Assistant | 3400 Anderson Rd Ste C, Greenville, SC 29611-7651 | 2010-02-06 |
| 1922245745 | Kelly Lynn Palmer | Occupational Therapist | 134 Grandview Ave, Waterbury, CT 06708-2507 | 2009-01-15 |
| Street Address |
504 E 24TH ST |
| City | TISHOMINGO |
| State | OK |
| Zip Code | 73460-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023251311 | Jim Ann Reynolds | Counselor | 504 E 24th St, Tishomingo, OK 73460-3214 | 2009-04-15 |
| 1366009797 | Angela Lagene Morgan | Counselor | 504 E 24th St, Tishomingo, OK 73460-3214 | 2019-05-21 |
| 1235696089 | Malynda Cobb | Counselor | 504 E 24th St, Tishomingo, OK 73460-3214 | 2019-02-28 |
| 1144692609 | Nina Chappell | Registered Nurse | 504 E 24th St, Tishomingo, OK 73460-3214 | 2015-10-23 |
| 1760894851 | Debra Bevill | Counselor | 504 E 24th St, Tishomingo, OK 73460-3214 | 2014-05-23 |
| 1295075836 | Amy Leigh Lockwood | Counselor | 504 E 24th St, Tishomingo, OK 73460-3214 | 2013-02-19 |
| 1942554423 | Melisa Jo Golden | Behavioral Analyst | 504 E 24th St, Tishomingo, OK 73460-3214 | 2012-11-05 |
| 1790049690 | Ranada Hulsey | Counselor | 504 E 24th St, Tishomingo, OK 73460-3214 | 2012-06-26 |
| 1700163649 | Melva Austin | Behavioral Analyst | 504 E 24th St, Tishomingo, OK 73460-3214 | 2011-11-07 |
| 1568746584 | Hartsell Psychological Services | Community/Behavioral Health | 504 E 24th St, Tishomingo, OK 73460-3214 | 2011-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
| 1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1811231939 | Wanda Luann Beesley Gray | Emergency Medical Technician, Paramedic | 3100 E St Hwy 78, Tishomingo, OK 73460 | 2012-11-15 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
| Find all providers in zip 73460 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1720417652 | Candice Oliver | Counselor | 202 South Broadway B2, Tishomingo, OK 73406 | 2013-11-01 |
| 1386083988 | Danielle Ophellia Brown | Counselor | 605 E 8th, Tishomingo, OK 73460-2351 | 2013-06-18 |
| 1124462825 | Ronald Ray Hart | Counselor | 1303 E Cheadle Rd, Tishomingo, OK 73460-4205 | 2013-04-24 |
| 1508115791 | Steve Devol Cheadle | Counselor | 304 S Muldrow St, Tishomingo, OK 73460-2733 | 2012-09-03 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1083919179 | Teresa Wilie Kennison | Counselor | 1350 S Muldrow St, Tishomingo, OK 73460-3278 | 2011-01-20 |
| 1952628612 | Shanna Hobbs | Counselor | 608 East 24th, Tishomingo, OK 73460 | 2010-04-21 |
| 1417273483 | Lacy Anne Borengasser | Counselor | 705 W Main, Pennington Creek Lifehouse, Tishomingo, OK 73460 | 2010-04-15 |
| Find all providers in TISHOMINGO | ||||
| City | TISHOMINGO |
| Zip Code | 73460 |
Please comment or provide details below to improve the information on MS. KELLY LYNN PALMER.
| 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.