KELLY DUNN (NPI# 1093167090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093167090 |
| Entity Type | Individual |
| Full Name | KELLY DUNN |
| Credential | PA-C |
| Practice Address |
1500 W Big Beaver Rd Troy MI 48084-3522 |
| Mailing Address |
3791 Eastbourne Dr Troy MI 48084-1109 |
| Practice Telephone | 2486891000 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007820 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952783540 | Kelly M Dunn | Dietitian, Registered | 1201 Camino De Salud Ne Msc07 4025, Albuquerque, NM 87131-1721 | 2015-06-19 |
| 1285901876 | Kelly Dunn | Physical Therapist | 18425 W Creek Dr Ste B, Tinley Park, IL 60477-6768 | 2011-11-26 |
| 1154579787 | Kelly Michelle Dunn | Social Worker | 11833 Sterling Panorama Ter, Austin, TX 78738-5017 | 2008-09-08 |
| 1093776072 | Kelly Lynn Dunn | Psychiatry & Neurology | 1696 West Hibiscus Blvd Suite A, Melbourne, FL 32901 | 2006-03-30 |
| 1952871758 | Kelly Lynne Dunn | Behavioral Analyst | 419 Main St, South Dennis, MA 02660-3644 | 2018-12-05 |
| 1932675196 | Kelly Nicole Dunn | Registered Nurse | 2111 Champa St, Denver, CO 80205-2529 | 2018-10-15 |
| 1679001119 | Kelly M Dunn | Marriage & Family Therapist | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2017-05-29 |
| 1801323605 | Kelly Dunn | Nurse Practitioner | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2017-05-11 |
| 1962819425 | Kelly Dunn | Counselor | 355 Ridge Ave, Evanston, IL 60202-3328 | 2014-07-16 |
| 1477972495 | Kelly Dunn | Psychiatry & Neurology | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2014-04-08 |
| Street Address |
1500 W BIG BEAVER RD |
| City | TROY |
| State | MI |
| Zip Code | 48084-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255380390 | Leah Marie Alessandri-moore | Physical Therapist | 1500 W Big Beaver Rd, Ste 150, Troy, MI 48084-3552 | 2006-05-08 |
| 1831741891 | Lesley-anne Stone | Physician Assistant | 1500 W Big Beaver Rd, Troy, MI 48084-3522 | 2019-07-10 |
| 1356794960 | University Neurosurgical Associates, PC | Neurological Surgery | 1500 W Big Beaver Rd, Ste 150, Troy, MI 48084-3522 | 2016-07-19 |
| 1679916258 | Somerset Urgent Care Pllc | Clinic/Center | 1500 W Big Beaver Rd, Suite 104, Troy, MI 48084-3522 | 2013-04-12 |
| 1124461702 | Somerset Urgent Care Pllc | Family Medicine | 1500 W Big Beaver Rd, Suite 104, Troy, MI 48084-3522 | 2013-04-12 |
| 1932442746 | United Med Ride, Inc | Non-emergency Medical Transport (VAN) | 1500 W Big Beaver Rd, # 104 A, Troy, MI 48084-3522 | 2013-03-29 |
| 1770621252 | Charla M Blacker | Obstetrics & Gynecology | 1500 W Big Beaver Rd, Ste 105, Troy, MI 48084-3526 | 2007-02-05 |
| 1518062942 | Michel Alkhalil | Allergy & Immunology | 1500 W Big Beaver Rd, Ste. 107, Troy, MI 48084-3522 | 2006-09-13 |
| 1154357861 | Dynamic Rehabilitation | Physical Medicine & Rehabilitation | 1500 W Big Beaver Rd, Ste 150, Troy, MI 48084-3522 | 2006-06-24 |
| 1902846454 | Kenneth Alan Ginsburg | Obstetrics & Gynecology | 1500 W Big Beaver Rd, Suite 105, Troy, MI 48084-3522 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1275146284 | Abigail Christine Miller | Physician Assistant | 4145 Butternut Hill Dr, Troy, MI 48098-4283 | 2020-08-28 |
| 1649882507 | Laurel Jeanne Seabolt | Physician Assistant | 4426 Holly Dr, Troy, MI 48085-4813 | 2020-08-20 |
| 1477164499 | Megan Turner | Physician Assistant | 3130 N County Rd, Troy, OH 45373-1337 | 2020-08-13 |
| 1487278800 | Rachel Barton | Physician Assistant | 2559 Palmerston Dr, Troy, MI 48084-1021 | 2020-06-01 |
| 1649891375 | Meagan Elizabeth Cuff | Physician Assistant | 3815 Ledge Dr, Troy, MI 48084-1141 | 2020-05-05 |
| 1487298329 | Megan Shelly | Physician Assistant | 2571 Hounds Chase Dr, Troy, MI 48098-2338 | 2019-11-04 |
| 1053952341 | Amanda Kate Livolsi | Physician Assistant | 258 Hoosick St Ste 106, Troy, NY 12180-2446 | 2019-10-08 |
| 1952961377 | Harsimran Grewal | Physician Assistant | 6053 Mayapple Dr, Troy, MI 48085-1065 | 2019-06-18 |
| 1457918237 | Cherita A Garcia | Physician Assistant | 1330 Us-231, Troy, AL 36081 | 2019-05-28 |
| Find all providers in TROY | ||||
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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.