MRS. KELLY L EVANS (NPI# 1093024721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093024721 |
| Entity Type | Individual |
| Full Name | MRS. KELLY L EVANS |
| Other Name | MS. KELLY L LANE |
| Credential | PHARMD |
| Practice Address |
1675 Leahy St Stuite 111 Muskegon MI 49442-5500 |
| Mailing Address |
5048 W Mcmillan Rd Muskegon MI 49445-8687 |
| Practice Telephone | 2317285888 |
| Practice Fax Number | 2317284093 |
| Mailing Telephone | 6165162106 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2015-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302036260 | MI | Pharmacy Service Providers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301005276 | MI | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407211352 | Kelly Evans | Home Health Aide | 13947 Castille St, Victorville, CA 92392-5508 | 2015-12-19 |
| 1396178174 | Kelly Evans | Counselor | 8 Reservoir Circle, Suite 103, Families Connected, LLC, Baltimore, MD 21208 | 2013-08-15 |
| 1093027906 | Kelly Anne Evans | Marriage & Family Therapist | 408 Saint Peter St Ste 429, Saint Paul, MN 55102-1119 | 2010-07-08 |
| 1235289976 | Kelly Carter Evans | Counselor | 27888 Meadow Dr, Suite 106, Evergreen, CO 80439-2102 | 2007-01-12 |
| 1124107693 | Kelly Evans | Internal Medicine | 85 Highway 80, Manchester, KY 40962-8801 | 2006-11-03 |
| 1720165251 | Kelly Charles Evans | Psychologist | 2714 Stewart Ave, Wausau, WI 54401-4153 | 2006-11-01 |
| 1730654104 | Kelly Evans | Speech-Language Pathologist | 13333 Blanco Rd Ste 310, San Antonio, TX 78216-7756 | 2018-10-11 |
| 1508341181 | Kelly Evans | Nurse Practitioner | 6616 Center Grove, Edwardsville, IL 62025 | 2018-09-28 |
| 1699221663 | Kelly Ann Evans | Nurse Anesthetist, Certified Registered | 51 N 39th St, Philadelphia, PA 19104-2640 | 2016-08-30 |
| 1245785534 | Kelly Evans | Counselor | 3701 Landsdowne Dr, Ashland, KY 41102-5422 | 2016-08-17 |
| Street Address |
1675 LEAHY ST STUITE 111 |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49442-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405357 | Byron L Varnado | Family Medicine | 1675 Leahy St, Ste 301, Muskegon, MI 49442-5543 | 2005-05-31 |
| 1083269641 | Sheva Anayah Loncle | Physician Assistant | 1675 Leahy St, Muskegon, MI 49442-5500 | 2019-08-09 |
| 1790277101 | Felisa Saldutti | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Muskegon, MI 49442-5500 | 2018-05-31 |
| 1245768951 | Erin Nicole Deprekel | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Muskegon, MI 49442-5500 | 2017-05-24 |
| 1659807709 | Irfan Ahmed Khan | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Suite 201a, Muskegon, MI 49442-5500 | 2017-05-11 |
| 1740715689 | William Brady Alling | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Suite 201a, Muskegon, MI 49442-5500 | 2017-04-28 |
| 1093240103 | Cassondra Wass | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Suite 201a, Muskegon, MI 49442-5500 | 2017-04-26 |
| 1740713551 | Brynn Schumacher | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Suite 315, Muskegon, MI 49442-5500 | 2017-04-07 |
| 1083156723 | Sara Farwig | Physician Assistant | 1675 Leahy St, Suite 324b, Muskegon, MI 49442-5500 | 2016-11-11 |
| 1336590728 | Eliza Newbury-palma | Family Medicine | 1675 Leahy St, Suite 315a, Muskegon, MI 49442-5500 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205472321 | Beacon of Light Counseling LLC | Social Worker | 1515 E Laketon Ave, Muskegon, MI 49442 | 2019-11-24 |
| 1528524410 | Tyler Companion | Social Worker | 710 Mclaughlin, Muskegon, MI 49442 | 2019-02-15 |
| 1427549658 | Amber Renee Davidson | Behavioral Analyst | 1175 Wesley Street, Muskegon, MI 49442 | 2018-05-23 |
| 1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
| 1023524303 | Aaron James Dortch | Social Worker | 571 E Appleave, Muskegon, MI 49442 | 2017-12-21 |
| 1043737554 | Jessica Nicole Moskalewski | Social Worker | 125 E. Catherine, Muskegon, MI 49442 | 2017-08-25 |
| 1427587831 | Cristina J Walcott | Social Worker | 1611 Oak Avenue, Muskegon, MI 49442 | 2017-06-08 |
| 1104352244 | Jessica Lee Bailey-yabani | Counselor | 35 S Sheridan Dr, Muskegon, MI 49442 | 2017-05-11 |
| 1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
| 1487038287 | Mark Charles Kaufman | Social Worker | 1611 Oak Ave., Muskegon, MI 49442 | 2015-07-13 |
| Find all providers in zip 49442 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1467735654 | Richard Thomas Poort | Pharmacist | 1771 Holton Rd., Muskegon, MI 49445 | 2011-09-23 |
| 1629350848 | Deirdre Kohley | Pharmacist | 2484 Winchester Dr, Muskegon, MI 49441-3238 | 2011-09-14 |
| 1225350622 | Barbara Marie Mattzela | Pharmacist | 1501 E Apple Ave Ste C, Muskegon, MI 49442-3762 | 2010-02-25 |
| 1932421823 | Jacalyn Nagel | Pharmacist | 1501 E Apple Ave, Muskegon, MI 49442-3762 | 2010-02-19 |
| 1598996027 | Patrick David Obrien | Pharmacist | 3370 Nina Ln, Muskegon, MI 49441-4200 | 2009-07-31 |
| 1578687562 | Laura M Horan | Pharmacist | 821 E Apple Ave, Muskegon, MI 49442-3737 | 2007-03-17 |
| 1013048784 | Kandance Jean Hartman | Pharmacist | 2635 Henry St, Muskegon, MI 49441 | 2007-03-07 |
| 1366519035 | Megan Jeanine Grelewicz | Pharmacist | 1391 E Sherman Blvd, Muskegon, MI 49444-1802 | 2006-11-29 |
| 1922101211 | Suzette Michele Adams | Pharmacist | 700 W. Norton Ave, Muskegon, MI 49441 | 2006-09-06 |
| Find all providers in MUSKEGON | ||||
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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.