DR. KELLY MAXWELL


Address: 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318
Phone: 5736864151

DR. KELLY MAXWELL (NPI# 1083802565) 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) 1083802565
Entity Type Individual
Full Name DR. KELLY MAXWELL
Credential PHARMD
Practice Address 1500 N Westwood Blvd
Poplar Bluff
MO 63901-3318
Practice Telephone 5736864151
Enumeration Date 2007-10-09
Last Update Date 2019-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH-2009 HI Pharmacy Service Providers

Other Providers KELLY MAXWELL

NPI Name Taxonomy Address Enumeration
1942855416 Kelly Maxwell Physical Therapy Assistant 6351 S Desert Blvd Bldg C, El Paso, TX 79932-1219 2019-08-01
1730687328 Kelly Maxwell Nurse Practitioner 700 E University Ave, Des Moines, IA 50316-2302 2018-01-29
1295032142 Kelly Jo Maxwell Physical Therapy Assistant 3041 Charlevoix Dr Se, Grand Rapids, MI 49546-7035 2011-02-11
1861727109 Kelly Ann Maxwell Counselor 9378 Olive Blvd, Ste. 317, Saint Louis, MO 63132-3215 2009-10-05
1528216108 Kelly Marie Maxwell Urology 676 N Saint Clair St, Suite 1835, Chicago, IL 60611-2927 2008-09-08
1972651669 Kelly A Maxwell Nurse Practitioner 7125 Saltsburg Rd, Pittsburgh, PA 15235-2252 2007-01-08

Office Location

Street Address 1500 N WESTWOOD BLVD
City POPLAR BLUFF
State MO
Zip Code 63901-3318

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336142256 Jeffrey Lee Dakas Internal Medicine 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2005-05-24
1184244493 Kristy Michelle Keirsey Dental Hygienist 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2020-04-16
1538788310 Wendy Lynn Weston Nurse Practitioner 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2020-04-13
1841842713 Lyrra Suszanne Stucker Registered Nurse 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2019-07-11
1043874803 Deirdre Stocks Nurse Practitioner 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2019-04-26
1053892026 Janet Lee Turner Pharmacist 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2018-08-27
1215450291 Richard Ladka Pharmacist 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2017-07-20
1285157388 Jessica Lynn Libla Nurse Practitioner 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2017-07-20
1780107995 Hannah Irene Terry Pharmacist 1500 N Westwood Blvd, Poplar Bluff, MO 63901 2017-07-19
1780112953 Lyntoria Rochelle Williams Social Worker 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2017-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568076701 Alternative Sleep Solution Dentist 2700 Kanell Blvd., Poplar Bluff, MO 63901 2020-09-04
1285271239 Front Door Wellness LLC Physical Therapist Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 2019-12-09
1104470368 Andrew Akindutire Dentist 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 2019-07-26
1780195966 Midwest Equipment Srv Systems LLC Technician, Pathology 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 2017-10-16
1801259387 Richard Justin Huber Technician, Other 3005 Warrior Ln, Poplar Bluff, MO 63901 2016-04-01
1699136275 Donja Kirkland Recreation Therapist 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 2016-03-10
1760866867 Bio-medical Applications of Missouri, Inc. Clinic/Center 3050 Tucker Road, Poplar Bluff, MO 63901 2015-07-17
1407246390 Lisa Marie Payne Physical Therapist 4358c Highway Pp, Poplar Bluff, MO 63901 2015-01-29
1700202488 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 1602 W. Harper Street, Poplar Bluff, MO 63901 2014-03-05
1932521648 Essential Family Healthcare, LLC Clinic/Center 1369 North Westwood Blvd., Poplar Bluff, MO 63901 2014-01-15
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982045787 Adam Michael Ivie Pharmacist 3240 Sky Line Dr, Poplar Bluff, MO 63901-2088 2013-07-10
1992241558 Yolanda Myers Pharmacist 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2017-01-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790254647 Meds To Live By Pharmacist 1134 N. Scarlett Way, Springfield, MO 65802 2018-11-21
1538647250 Brian D Davis Pharmacist 600 Winding Oaks Pl, Ballwin, MO 63021-7379 2018-08-03
1144718313 Eddy Airiohuodion Pharmacist 8629 E Utopia Pkwy Apt 11, Raytown, MO 64138-5307 2018-04-24
1770085987 Brigid Farrar Pharmacist 440 E Tampa St # 100, Springfield, MO 65806-1131 2018-03-03
1104347277 Blake William Baumann Pharmacist 2301 Homes St, Kansas City, MO 64108 2017-06-29
1497280523 Scott Strassels Pharmacist 8002 Davis Dr, Clayton, MO 63105-2529 2017-04-26
1942682604 Shane Austin Pharmacist 8660 Old Bonhomme Rd Apt B, Saint Louis, MO 63132-3936 2015-06-18
1255735015 Surendra R Patel Pharmacist 333 Solar Terrace Ct, Chesterfield, MO 63017-2499 2014-10-22
1093131500 Chessa Nyberg Pharmacist 410 E Porte Cimi Pas St, Kansas City, MO 64131-2922 2014-03-07
1063833127 Brent Tackitt Pharmacist 1768 Winding Glen Dr, Saint Charles, MO 63303-5099 2013-12-16
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Competitor

Search similar providers

City POPLAR BLUFF
Zip Code 63901

Improve Information

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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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