LAWRENCE R KELLY (NPI# 1114058781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114058781 |
| Entity Type | Individual |
| Full Name | LAWRENCE R KELLY |
| Credential | M.D. |
| Practice Address |
200 E Chestnut St Louisville KY 40202-1831 |
| Mailing Address |
234 E Gray St Suite 850 Louisville KY 40202-1900 |
| Practice Telephone | 5026291701 |
| Mailing Telephone | 5028525875 |
| Mailing Fax Number | 5028521754 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2017-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01066513A | IN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
42926 | KY | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R0569 | KY | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
42926 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316438898 | Lawrence Gerard Kelly | Pharmacist | 2101 O St Apt 209, Cozad, NE 69130-1077 | 2018-05-21 |
| 1215006234 | Lawrence K Kelly | Counselor | 140 Co. Hwy 33w, Cooperstown, NY 13326 | 2006-11-06 |
| 1073523544 | Lawrence P Kelly | Surgery | 25270 Main Rd, Cutchogue, NY 11935-1286 | 2006-08-08 |
| 1700049186 | Lawrence F.x. Kelly | Pediatrics | 11445 Sunset Hills Rd, Reston, VA 20190-5276 | 2008-07-07 |
| 1073773578 | Lawrence William Kelly Jr. | Emergency Medicine | Stony Brook University Hospital, Department of Emergency Medicine, Hsc, L-4, Room 080, Stony Brook, NY 11794-0001 | 2008-06-10 |
| 1629031901 | Lawrence Bennett Kelly | Specialist | 415 Morris St, Suite 306, Charleston, WV 25301-1853 | 2006-04-08 |
| 1124014758 | Lawrence J Kelly | Orthopaedic Surgery | 12361 W Bola Dr, Suite 100, Surprise, AZ 85378-9021 | 2005-09-20 |
| Street Address |
200 E CHESTNUT ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456384 | Sanford Todd Reikes | Internal Medicine | 200 E Chestnut St, Louisville, KY 40202-1831 | 2005-06-09 |
| 1245845163 | Morgan Daffin | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-09-09 |
| 1053934612 | Kayla N Larosa | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-05-18 |
| 1013548973 | Kentucky Ob Hospitalist Services Inc | Obstetrics & Gynecology | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-01-30 |
| 1003451774 | Elizabeth Turcotte | Nurse Practitioner | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-11-16 |
| 1972145332 | Brenn Philip Arbra | Registered Nurse | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-10-17 |
| 1417599200 | Candice Elaine Bacon | Registered Nurse | 200 E Chestnut St, Louisville, KY 40202-1800 | 2019-10-13 |
| 1518510965 | Katrina Mcneal | Nurse Practitioner | 200 E Chestnut St, Louisville, KY 40202-1800 | 2019-07-24 |
| 1013569102 | Hannah Harris | Physician Assistant | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-07-10 |
| 1932768710 | Jasmina Keserovic | Nurse Anesthetist, Certified Registered | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063613107 | Stephen Matthew Pirrone | Radiology | 3507 Sasse Way, Louisville, KY 40245-8516 | 2007-05-29 |
| 1366440687 | Clifton Tatum | Radiology | 200 E Gray St, Louisville, KY 40202-2012 | 2005-07-11 |
| 1215433974 | Vascular Interventional & Pain Clinic-vip Clinic-vip Imaging Cen | Radiology | 3906 S Dupont Sq Ste A, Louisville, KY 40207 | 2018-04-02 |
| 1275952178 | Chandresh Shah | Radiology | 234 E Gray St Ste 850, Louisville, KY 40202-1901 | 2014-04-08 |
| 1932524386 | Louisville Vascular Care LLC | Radiology | 645 S Roy Wilkins Ave, Louisville, KY 40203-2072 | 2014-02-21 |
| 1982730909 | Douglas M Coldwell | Radiology | 530 S Jackson St, Co7, Louisville, KY 40202-1675 | 2007-02-26 |
| 1619954138 | Diagnostic X-ray Physicians, Psc | Radiology | 5129 Dixie Hwy, Suite 100, Louisville, KY 40216 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477881399 | M&m Vascular Technologies, LLC | Radiology | 2510 Legends Way, Crestview Hills, KY 41017-2370 | 2009-12-04 |
| 1972584910 | Nasir Hameed Siddiqi | Radiology | 800 Rose St., Lexington, KY 40536 | 2005-11-08 |
| 1063679447 | Rami Tariq Sartawi | Radiology | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2008-05-22 |
| 1538336946 | Daniel Do | Radiology | 800 Rose St, Department of Radiology, Lexington, KY 40536-0293 | 2008-05-14 |
| 1528252525 | Driss Raissi | Radiology | 800 Rose St, Hx319d, Lexington, KY 40536-0293 | 2007-09-02 |
| 1114978152 | Radiology Physicians of Lexington | Radiology | 310 S Limestone, Lexington, KY 40508-3008 | 2006-05-15 |
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.