KATHRYN B KELLY (NPI# 1063638492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063638492 |
| Entity Type | Individual |
| Full Name | KATHRYN B KELLY |
| Credential | RN |
| Practice Address |
32 Hummingbird Lane Conway AR 72032-1296 |
| Mailing Address |
32 Hummingbird Ln Conway AR 72032-5903 |
| Practice Telephone | 5013293442 |
| Practice Fax Number | 5013293517 |
| Mailing Telephone | 5013293442 |
| Mailing Fax Number | 5019619035 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
R13575 | AR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093134314 | Kathryn Kaplan Kelly | Speech-Language Pathologist | 1060 N Falling Waters Dr, Demorest, GA 30535-4733 | 2014-04-15 |
| 1811261134 | Kathryn Kelly | Physical Therapist | 17 Riverside Dr, Tiverton, RI 02878-4317 | 2012-03-05 |
| 1407159353 | Kathryn E Kelly | Psychologist | 311 Church St, Natchitoches, LA 71457-4612 | 2010-12-15 |
| 1174773097 | Kathryn Ann Kelly | Family Medicine | 4410 Ruttand Park Ln, Katy, TX 77450-8229 | 2008-09-27 |
| 1083711972 | Kathryn Burke Kelly | Clinical Nurse Specialist | 324 Purchase St, Suite 12b, South Easton, MA 02375-1641 | 2006-09-20 |
| 1336136100 | Kathryn Ann Kelly | Physical Therapist | 1924 Tappahannock Blvd, Tappahannock, VA 22560-9352 | 2005-10-05 |
| 1467086405 | Kathryn D Kelly | Counselor | 501 Colliers Way, Weirton, WV 26062-5003 | 2020-02-28 |
| 1710333570 | Kathryn Lyons Kelly | Emergency Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2016-05-11 |
| 1689077737 | Kathryn Marie Kelly | Nurse Anesthetist, Certified Registered | 2411 Fountain View Dr, Ste 200, Houston, TX 77057-4817 | 2014-10-03 |
| 1437450475 | Kathryn Jo Kelly | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2010-11-08 |
| Street Address |
32 HUMMINGBIRD LANE |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-1296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750708764 | Vicky Renee Hinz | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2014-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1104477959 | Alonzo M White | Registered Nurse | 1717 Louisiana St Apt R, Little Rock, AR 72206-1402 | 2019-09-24 |
| 1154895845 | Mendy Darlene Rhew | Registered Nurse | 131 Ransom Smith Rd, Pleasant Plains, AR 72568-9644 | 2019-01-15 |
| 1760991640 | Kristen Leigh Harvey | Registered Nurse | 162 University Heights Drive, Monticello, AR 71655 | 2017-09-24 |
| 1588184121 | 1st Choice Home Care, Inc. | Registered Nurse | 2164 County Road 762, Brookland, AR 72417 | 2017-06-25 |
| 1578093035 | Iris Lakeith Golden Griffith | Registered Nurse | 8305 Oxford Valley Dr, Mabelvale, AR 72103-2332 | 2017-06-18 |
| 1023547411 | Sylvia Marinus | Registered Nurse | 3715 Business Drive, Suite 202, Fayetteville, AR 72703-5204 | 2017-06-08 |
| 1003259037 | Kristen Kay Bohr | Registered Nurse | 15886 Highway 49 N, Rector, AR 72461-9350 | 2013-04-09 |
| 1659508828 | Pdb Enterprises, Inc | Registered Nurse | 10402 Stagecoach Road, Suite G, Llittle Rock, AR 72210-8986 | 2009-06-16 |
| 1366687634 | Mary Marlene Darragh | Registered Nurse | 123 Alabama Dr, Jacksonville, AR 72076-1002 | 2008-12-15 |
| Find all providers with the same taxonomy | ||||
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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.