KELLY BUSH


Address: 4400 Broadway, Suite 520, Kansas City, MO 64111-3498
Phone: 8165314080

KELLY BUSH (NPI# 1053778787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053778787
Entity Type Individual
Full Name KELLY BUSH
Credential APN
Practice Address 4400 Broadway
Suite 520
Kansas City
MO 64111-3498
Mailing Address 901 E 104th St
Mailstop 400
Kansas City
MO 64131
Practice Telephone 8165314080
Practice Fax Number 8165310281
Mailing Telephone 8165999499
Mailing Fax Number 8169329670
Enumeration Date 2016-01-26
Last Update Date 2017-11-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
2016000625 MO Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY BUSH

NPI Name Taxonomy Address Enumeration
1730550724 Kelly Bush Licensed Practical Nurse 528 Main St, Phoenix, NY 13135-2056 2015-10-15
1114308806 Kelly Bush Speech-Language Pathologist 203 E Tall Oaks Cir, Palm Beach Gardens, FL 33410-4451 2015-06-18
1669955357 Kelly Bush Licensed Practical Nurse 2521 N Elms Rd, Flushing, MI 48433-9423 2018-09-10
1437640158 Kelly Nicole Bush Registered Nurse 651 Colliers Way, Weirton, WV 26062-5053 2018-05-29
1689060014 Kelly Bush Community Health Worker 32910 W 13 Mile Rd, Bldg. A, Suite 100, Farmington Hills, MI 48334-1980 2015-04-13
1619380250 Kelly Otisha Bush Nurse Practitioner 3240 S Cobb Dr Se, Smyrna, GA 30080-4194 2014-06-10
1073831079 Kelly Ann Bush Pediatrics 3010 Childrens Way, San Diego, CA 92123-4223 2010-05-14
1235384454 Kelly Bush Physical Therapy Assistant 7233 Whipple Ave Nw, North Canton, OH 44720-7137 2008-12-02
1649321191 Kelly M Bush Psychologist 710 S Broadway Ste 300, Dept of Mental Health, Walnut Creek, CA 94596-5229 2007-01-12

Office Location

Street Address 4400 BROADWAY
SUITE 520
City KANSAS CITY
State MO
Zip Code 64111-3498

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942205703 Michael M Vesali Psychiatry & Neurology 4400 Broadway, Ste. 520, Kansas City, MO 64111-3498 2005-06-17
1194357129 Catherine Pogson Lewis Nurse Practitioner 4400 Broadway, Suite 206, Kansas City, MO 64111 2020-02-07
1861938102 Dawn Ferguson Nurse Practitioner 4400 Broadway, Suite 540, Kansas City, MO 64111 2017-01-10
1598214306 Children's Mercy-pediatric Associates Pediatrics 4400 Broadway, Suite 206, Kansas City, MO 64111-3498 2016-09-22
1982056537 Allison White Pharmacist 4400 Broadway, Suite 106, Kansas City, MO 64111-3498 2016-07-07
1225499031 Kayla Kjelshus Nurse Practitioner 4400 Broadway, Suite 500, Kansas City, MO 64111-3498 2016-03-08
1194180158 Laboratory Corporation of America Holdings Clinical Medical Laboratory 4400 Broadway, Suite 302, Kansas City, MO 64111-3498 2015-12-17
1215308762 Lyndsay Kiely Nurse Practitioner 4400 Broadway, Suite#206, Kansas City, MO 64111-3498 2015-10-09
1891165296 Meagan Reighard Nurse Practitioner 4400 Broadway, Ste. 520, Kansas City, MO 64111-3498 2015-09-29
1700262342 Emily Sue Ryan Nurse Practitioner 4400 Broadway, Suite 206, Kansas City, MO 64111-3498 2015-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184242810 Kristen Casey Psychologist 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 2020-07-09
1336765015 Tyler Hoelting Chiropractor 3611 Main Street, Kansas City, MO 64111 2020-06-18
1003452764 Sarah Anne Heavey Nurse Practitioner 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 2019-11-18
1558844241 Guardian Angels, LLC Home Health 4049 Pennsylvania Ave, Kansas City, MO 64111 2018-09-10
1730669169 Hannah Eagleburger Physician Assistant 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 2018-08-15
1316460835 Kandace Callwell Counselor 4106 Baltimore Ave, Kansas City, MO 64111 2017-07-18
1780046250 Sara Koenemann Nurse Practitioner 4400 Broadway St., Ste. 520, Kansas City, MO 64111 2016-03-24
1932586245 Suzzette Griffith Acupuncturist 406 W 34th Street Ste 812, Kansas City, MO 64111 2015-05-06
1972999225 Timothy O Olatunde Emergency Medicine 4410 Wornall Road, Kansas City, MO 64111 2015-04-14
1730595026 Morgan Nelson Audiologist 4230 Wornall Road, Suite 420, Kansas City, MO 64111 2014-07-07
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861968612 Nasir Gebi Nurse Practitioner 603 E Minor Dr Apt 202, Kansas City, MO 64131-3688 2018-10-19
1457839573 Robert Claude Kamtio Kamgoum Nurse Practitioner 406 W 34th St Ste 428, Kansas City, MO 64111-3113 2018-07-31
1568434173 Carol Ann Dickerson Nurse Practitioner 8301 State Line Rd, #100, Kansas City, MO 64114-2025 2006-02-07
1598122863 Elizabeth B Kay Nurse Practitioner 1500 Meadow Lake Pkwy, Ste 200, Kansas City, MO 64114-1600 2016-01-18
1568573103 Joseph Caraway Nurse Practitioner 5400 N Oak Trfy, Ste 100, Kansas City, MO 64118-6489 2006-08-31
1063454452 Jacquelyn E Boan Nurse Practitioner 11201 Colorado Ave, Kansas City, MO 64137-2502 2006-06-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023632932 Rebecca Theresa Medlock Nurse Practitioner 736 Marco Valley Ct, Fenton, MO 63026-5318 2020-06-05
1083233274 Gina Hart Nurse Practitioner 12101 Woodcrest Executive Dr Ste 102, Saint Louis, MO 63141-5047 2020-04-08
1215569512 Nicole M Wikoff Nurse Practitioner 12415 Hickory Grove Ln, Saint Louis, MO 63146-3907 2020-02-05
1124658257 Amadu Barrie Nurse Practitioner 134 Midland Avenue, Maryland Heights, MO 63043 2020-01-16
1922569995 Sarah Regan Nurse Practitioner 1031 Bellevue Ave Ste 100, Saint Louis, MO 63117-1855 2019-03-30
1437615044 Ashley M Berneking Nurse Practitioner 4122 Keaton Crossing Blvd Ste 102, O Fallon, MO 63368-8219 2019-02-19
1174094072 Michelle Kay Bank Nurse Practitioner 12409 Roth Hill Dr, Maryland Heights, MO 63043-2941 2018-12-17
1639613813 University of Missouri Nurse Practitioner 1100 Virginina Ave, Columbia, MO 65212-0001 2016-12-07
1962869990 Fatma Esen Antakli Nurse Practitioner Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 2016-01-21
1386995595 Kristina M Nelson Nurse Practitioner 5225 Mid America Plz, Saint Louis, MO 63129-0002 2012-09-27
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Competitor

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City KANSAS CITY
Zip Code 64111

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Dataset Information

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.

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