DR. KELLY ANN FLYNN (NPI# 1104425990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104425990 |
| Entity Type | Individual |
| Full Name | DR. KELLY ANN FLYNN |
| Credential | FNP |
| Practice Address |
447 Spruce St Walterboro SC 29488-2766 |
| Mailing Address |
1313 Hermitage Ave Charleston SC 29412-9221 |
| Practice Telephone | 8435496331 |
| Mailing Telephone | 8605958124 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
24378 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043438682 | Kelly Ann Flynn | Massage Therapist | 23 Florida St, Long Beach, NY 11561-1107 | 2007-04-20 |
| 1831197896 | Kelly Flynn | Obstetrics & Gynecology | 55 Dimock St, Roxbury, MA 02119-1029 | 2005-07-13 |
| 1417585829 | Kelly Delany Flynn | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-03-31 |
| 1093352411 | Kelly Flynn | Nurse Practitioner | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2019-12-04 |
| 1083108450 | Kelly Danielle Flynn | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2018-06-19 |
| 1275958043 | Kelly Flynn | Specialist | 445 Evans St, Williamsville, NY 14221-5606 | 2014-03-03 |
| 1558709964 | Kelly A Flynn | Family Medicine | 6401 Prairie St, Suite 2600, Norton Shores, MI 49444-7840 | 2013-06-07 |
| 1740625482 | Kelly Flynn | Nurse Practitioner | 1 E Ogden Ave, Westmont, IL 60559-1339 | 2013-05-08 |
| 1760744981 | Kelly Ann Flynn | Counselor | 191 Broadway, Amityville, NY 11701-2790 | 2012-06-13 |
| 1942532510 | Kelly Lynn Flynn | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-02-08 |
| Street Address |
447 SPRUCE ST |
| City | WALTERBORO |
| State | SC |
| Zip Code | 29488-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425575 | John Caudell Carson | Family Medicine | 447 Spruce St, Walterboro, SC 29488-2766 | 2005-05-31 |
| 1912350034 | Rosie Mincey | Nurse Practitioner | 447 Spruce St, Walterboro, SC 29488-2766 | 2016-07-14 |
| 1316317316 | Kaylee Gabhart Howell | Physician Assistant | 447 Spruce St, Walterboro, SC 29488-2766 | 2015-10-02 |
| 1548642804 | Erin Whittington | Nurse Practitioner | 447 Spruce St, Walterboro, SC 29488-2766 | 2015-06-23 |
| 1407166903 | Matthew Lawrence Gilbert | Physician Assistant | 447 Spruce St, Walterboro, SC 29488-2766 | 2010-10-18 |
| 1376873802 | Walterboro Adult & Pediatric Medicine, LLC | Clinic/Center | 447 Spruce St, Walterboro, SC 29488-2766 | 2010-01-06 |
| 1205097516 | Stania Ayanna Dejesus | Family Medicine | 447 Spruce St, Walterboro, SC 29488-2766 | 2008-06-19 |
| 1780866897 | Barbara Jean Steadman | Nurse Practitioner | 447 Spruce St, Walterboro, SC 29488-2766 | 2007-11-30 |
| 1467438499 | Walterboro Adult and Pediatric Medicine,llc | Family Medicine | 447 Spruce St, Walterboro, SC 29488-2766 | 2005-12-21 |
| 1992708309 | John Glenn Creel | Family Medicine | 447 Spruce St, Walterboro, SC 29488-2766 | 2005-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996880 | Tamela Johnson | Counselor | 1439 Thunderbolt Drive Walterboro, Sc 29488, 1439 Thunderbolt Drive Walterboro, Sc 29488, Walterboro, SC 29488 | 2020-09-15 |
| 1558727941 | Amber Henderson | Counselor | 2004 Jefferies Hwyv, Walterbori, SC 29488 | 2016-01-14 |
| 1710130471 | George's Clearvision | Optometrist | 1009 Bells Hwy, Walterboro, SC 29488 | 2008-10-28 |
| 1992965503 | Colleton Chiropractic, LLC | Chiropractor | 211 Eddie Chasteen Drive, Walterboro, SC 29488 | 2008-06-17 |
| 1083885867 | Lowcountry Imaging Associates, LLC | Clinic/Center | 211 Meadow Street, Walterboro, SC 29488 | 2008-03-19 |
| 1215106794 | Lowcountry Center for Diabetes & Endocrinology Pa | Specialist | 16 Northside Dr., Walterboro, SC 29488 | 2008-02-28 |
| 1649399445 | Dan Russell Yarbrough | Dentist | 100a Commerce Drive, Walterboro, SC 29488 | 2007-03-29 |
| 1902931355 | Colleton County School District | Speech-Language Pathologist | 611 Colletonloop, Walterboro, SC 29488 | 2007-02-23 |
| 1477616555 | Samuel Michael Hazel | Dentist | 415a Robertson Blvd, One Professional Plaza, Walterboro, SC 29488 | 2006-12-19 |
| 1245243823 | Landrum Rescue Squad | Ambulance | 203 B Eddie Chasteen Blvd, Walterborough, SC 29488 | 2006-08-14 |
| Find all providers in zip 29488 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801458765 | Courtney Danielle Bunton Alberts | Nurse Practitioner | 302 Medical Park Dr Ste 210, Walterboro, SC 29488-5749 | 2019-07-01 |
| 1013471101 | Alyssa W Ursini | Nurse Practitioner | 1515 Bells Hwy, Walterboro, SC 29488-2517 | 2019-01-23 |
| 1639110299 | Christina Bashnan Martin | Nurse Practitioner | 302 Medical Park Dr Ste 211, Walterboro, SC 29488-5749 | 2006-06-08 |
| 1154369353 | William Furman Melton Jr. | Nurse Practitioner | 217 Lemacks St, Walterboro, SC 29488 | 2006-06-02 |
| 1194726414 | Kathryn Anne Vanravenstein | Nurse Practitioner | 401 Witsell St, Walterboro, SC 29488-3052 | 2005-08-09 |
| 1609405224 | Danya Kay Gioiello | Nurse Practitioner | 1515 Bells Hwy, Walterboro, SC 29488-2517 | 2020-04-06 |
| 1538794565 | Tammy Yarnell Warren | Nurse Practitioner | 1515 Bells Hwy, Walterboro, SC 29488-2517 | 2020-03-10 |
| 1467011213 | Robert Shelton Sizemore IIi | Nurse Practitioner | 1515 Bells Hwy, Walterboro, SC 29488-2517 | 2019-06-06 |
| 1285107110 | Autumn Lee Hillegas | Nurse Practitioner | 873 Robertson Blvd, Walterboro, SC 29488-3082 | 2019-01-03 |
| 1356860787 | Jennifer A. Berry | Nurse Practitioner | 873 Robertson Blvd, Walterboro, SC 29488-3082 | 2017-09-18 |
| Find all providers in WALTERBORO | ||||
| City | WALTERBORO |
| Zip Code | 29488 |
Please comment or provide details below to improve the information on DR. KELLY ANN FLYNN.
| 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.