KELLY WILKERSON (NPI# 1114168135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114168135 |
Entity Type | Individual |
Full Name | KELLY WILKERSON |
Practice Address |
1360 N Louisiana St Ste D Kennewick WA 99336-7171 |
Practice Telephone | 5097354247 |
Mailing Telephone | 5097354247 |
Enumeration Date | 2009-03-20 |
Last Update Date | 2009-03-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558485847 | Kelly Cherie Wilkerson | Counselor | 695 S Vermont Ave, Los Angeles, CA 90005-1349 | 2007-03-19 |
Street Address |
1360 N LOUISIANA ST STE D |
City | KENNEWICK |
State | WA |
Zip Code | 99336-7171 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
Find all providers in zip 99336 |
Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
An individual trained in the management of fitting prefabricated orthoses. |
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356667703 | Sandy Lee Warner | Orthotic Fitter | 2417 W Kennewick Ave, Suite A, Kennewick, WA 99336-3128 | 2010-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275040081 | Cameron Eric Rich | Orthotic Fitter | 530 Lilly Rd Se Ste 100, Olympia, WA 98501-2105 | 2018-01-02 |
1316165483 | Beverly Jo Meissner | Orthotic Fitter | 330 Auburn Way N, Auburn, WA 98002-5007 | 2007-04-23 |
1306877592 | Robert John Cook | Orthotic Fitter | 16500 Se 15th St, Ste 100, Vancouver, WA 98683-9666 | 2006-07-05 |
1679817985 | Ryan Allen | Orthotic Fitter | 1300 44th St Se, Everett, WA 98203-2200 | 2012-11-27 |
1730423054 | Rosie Garcia | Orthotic Fitter | 1520 Roosevelt Ave, Mount Vernon, WA 98273-2685 | 2012-11-27 |
1477897783 | Stacy Pedegana | Orthotic Fitter | 1300 44th St Se, Everett, WA 98203-2200 | 2012-11-27 |
1235482704 | Christopher Davis | Orthotic Fitter | 600 Broadway Ste 190, Seattle, WA 98122-5371 | 2012-10-22 |
1427376573 | Brian Osborne | Orthotic Fitter | 4800 Sand Point Way Ne, M/s W4657, Seattle, WA 98105-3901 | 2010-05-13 |
1740412808 | Joseph Frederick Eads | Orthotic Fitter | 723 Martin Luther King Jr Way, Tacoma, WA 98405-4139 | 2009-08-21 |
1497983597 | Linda D Corbell | Orthotic Fitter | 600 Broadway Ste 190, Seattle, WA 98122-5371 | 2009-06-26 |
Find all providers with the same taxonomy |
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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.