KRISTEN KELLY (NPI# 1093857005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093857005 |
| Entity Type | Individual |
| Full Name | KRISTEN KELLY |
| Practice Address |
216 Co Rt 64 Mexico NY 13114 |
| Practice Telephone | 3159635421 |
| Mailing Telephone | 3159635421 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0263941 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617612 | Kristen Kelly | Physician Assistant | 31 W Maple Rd, Greenlawn, NY 11740-1024 | 2020-07-28 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1467905075 | Kristen Gidel Kelly | Counselor | 384 Streamwater Dr, Blacklick, OH 43004-8132 | 2016-07-31 |
| 1710516711 | Kristen A Kelly | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-04-02 |
| 1962983270 | Kristen Irene Kelly | Occupational Therapy Assistant | 3002 W 2nd Ave, Corsicana, TX 75110-2492 | 2018-08-24 |
| 1356845101 | Kristen Mchugh Kelly | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2018-03-19 |
| 1265942809 | Kristen D Kelly | Occupational Therapist | 2865 Chancellor Dr Ste 105, Crestview Hills, KY 41017-3913 | 2017-10-10 |
| 1023470945 | Kristen Joy Kelly | Student in an Organized Health Care Education/Training Program | 1679 E Main St, Suite 102, El Cajon, CA 92021-5212 | 2016-03-22 |
| 1558798181 | Kristen Kelly | Pharmacist | 5809 Deale Churchton Rd, Deale, MD 20751-2203 | 2013-09-27 |
| 1336576081 | Kristen Michelle Kelly | Social Worker | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2013-09-26 |
| Street Address |
216 CO RT 64 |
| City | MEXICO |
| State | NY |
| Zip Code | 13114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992847917 | Pamela J Allen | Specialist | 216 Co Rt 64, Mexico, NY 13114 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750740148 | Jessica Reich | Licensed Practical Nurse | 3255 Main St, #1, Mexico, NY 13114 | 2016-02-15 |
| 1356769657 | Timothy Ross | Speech-Language Pathologist | 16 Fravor Road, Mexico Academy & Central School, Mexico, NY 13114 | 2014-04-03 |
| 1275819955 | Mexico High School | Local Education Agency (LEA) | 3338 Main Street, Mexico, NY 13114 | 2011-10-26 |
| 1841575503 | Nancy Lynn Carr | Speech-Language Pathologist | County Route 64, Oswego County Boces, Mexico, NY 13114 | 2011-10-13 |
| 1710209895 | Melvyn Leonard Shindler | Pharmacist | 3318 Main St., Mexico, NY 13114 | 2010-02-17 |
| 1770818700 | Rebecca Ella Vrooman | Registered Nurse | 503 County Route 41, Mexico, NY 13114 | 2009-10-08 |
| 1437333879 | Oswego County Mental Health | Case Management | 1 Spring Street, Mexico, NY 13114 | 2007-12-20 |
| 1619158821 | Paul Albert Smith Jr. | Licensed Practical Nurse | 6 Mexico Point Drive, Mexico, NY 13114 | 2007-11-15 |
| 1932275898 | Brandi S. Coleman | Optometrist | 3277 Main St., Mexico, NY 13114 | 2006-11-24 |
| 1659488831 | Kph Healthcare Services, Inc. | Pharmacy | 3318 Main Street, Mexico, NY 13114 | 2006-08-24 |
| Find all providers in zip 13114 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184058059 | Kimberly Perth | Specialist | 28 Sage Creek Rd, Mexico, NY 13114-3199 | 2013-08-28 |
| 1407044548 | Missouri Central Physical Therapy, LLC | Specialist | 2759 A South Clark, Mexico, MO 65265 | 2007-10-12 |
| 1477761492 | Jeffrey Michael Couch | Specialist | 520 W Jackson St, Mexico, MO 65265-1937 | 2007-05-21 |
| 1992847917 | Pamela J Allen | Specialist | 216 Co Rt 64, Mexico, NY 13114 | 2007-02-13 |
| 1700835048 | Eagle Rehabilitation, LLC | Specialist | 222 E Jackson St, Mexico, MO 65265-2821 | 2006-05-05 |
| 1760484638 | Raymond H Wilbers | Specialist | 625 E Summit St, Mexico, MO 65265-3294 | 2005-08-11 |
| 1760906713 | Ashlee M Thompson | Specialist | 216 County Route 64, Mexico, NY 13114-3229 | 2017-08-01 |
| 1609216415 | Timothy L Cormier | Specialist | 89 Main St, Mexico, ME 04257-1440 | 2013-06-26 |
| 1932448107 | Robert Inzalaco | Specialist | 216 County Route 64, Mexico, NY 13114-3229 | 2013-02-08 |
| 1598015539 | Beth Croll Mackenzie | Specialist | 216 County Route 64, Mexico, NY 13114-3229 | 2012-09-18 |
| Find all providers in MEXICO | ||||
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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.