KENNETH S MACKILLOP (NPI# 1063061844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063061844 |
Entity Type | Individual |
Full Name | KENNETH S MACKILLOP |
Credential | ATS |
Practice Address |
3421 Lake Rd Charlotte VT 05445-8243 |
Practice Telephone | 8029996225 |
Mailing Telephone | 8029996225 |
Enumeration Date | 2019-09-05 |
Last Update Date | 2019-09-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
3421 LAKE RD |
City | CHARLOTTE |
State | VT |
Zip Code | 05445-8243 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962895284 | Marie Judith Lucie Eruimy-kiley | Midwife | 1511 Prindle Road, Charlotte, VT 05445 | 2015-03-11 |
1154415867 | Nina Falsen | Counselor | 823 Ferry Road, Charlotte, VT 05445 | 2006-10-03 |
1104853258 | Charlotte Volunteer Fire and Rescue Services Incorporated | Ambulance | Ferry Rd, Charlotte, VT 05445-0170 | 2006-06-26 |
1013118157 | Charles Joseph Schmitt | Family Medicine | 760 College Parkway, Colchester, VT 05445-3007 | 2007-05-29 |
1265699771 | Letitia Diane Tayeby | Counselor | 47 Vineyard View Dr, Charlotte, VT 05445-4201 | 2008-05-21 |
1508281064 | Jeffrey Steven Martin | Psychologist | 300 Palmer Ln, Charlotte, VT 05445-4410 | 2014-02-20 |
1427391523 | David Garbose | Speech-Language Pathologist | 27 Inn Rd, # 1, Charlotte, VT 05445-8245 | 2013-03-27 |
1902962384 | David Vanbuskirk | Psychiatry & Neurology | 406 Mountains Edge, Charlotte, VT 05445-9051 | 2006-12-29 |
1326526062 | Bryan Elliot Petrow | Pharmacist | 823 Ferry Rd, Charlotte, VT 05445-9092 | 2018-08-03 |
1710518816 | Lila Webb | Counselor | 151 Prindle Rd, Charlotte, VT 05445-9196 | 2020-01-28 |
Find all providers in zip 05445 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215544564 | Umuhire Ntabana | Student in an Organized Health Care Education/Training Program | 712 Woodruff Pl, Charlotte, NC 28208-4552 | 2020-09-29 |
1184236226 | Andrea Rose Corpus | Student in an Organized Health Care Education/Training Program | 7617 Grayling Ct, Charlotte, NC 28227-1200 | 2020-08-19 |
1548871445 | Deborah Hugh | Student in an Organized Health Care Education/Training Program | 4924 Dawnridge Dr, Charlotte, NC 28226-8088 | 2020-08-13 |
1922619337 | Connor Michael Gordley | Student in an Organized Health Care Education/Training Program | 824 Autumn Rain Ln, Charlotte, NC 28209-4794 | 2020-08-11 |
1396356796 | Kaitlin Anne Phelps | Student in an Organized Health Care Education/Training Program | 1315 Harding Pl Apt 342, Charlotte, NC 28204-3542 | 2020-08-11 |
1891306106 | Grace Horrall | Student in an Organized Health Care Education/Training Program | 2808 Griffith St Apt 3111, Charlotte, NC 28203-2406 | 2020-08-11 |
1124642756 | Umanah Healthcare Institute | Student in an Organized Health Care Education/Training Program | 5801 Executive Center Dr Ste 103, Charlotte, NC 28212-8870 | 2020-05-29 |
1407479108 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 12715 Mosby Ln, Charlotte, NC 28273-4841 | 2020-05-28 |
1043833916 | Rachel Marleen Grove | Student in an Organized Health Care Education/Training Program | 1908 Piedmont Hills Pl Apt 828, Charlotte, NC 28217-6716 | 2020-05-26 |
1669095733 | Zachary A Wood | Student in an Organized Health Care Education/Training Program | 1042 Newfound Hollow Dr, Charlotte, NC 28214-8823 | 2020-05-25 |
Find all providers in CHARLOTTE |
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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.