MARY L KELLEY (NPI# 1114973369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114973369 |
| Entity Type | Individual |
| Full Name | MARY L KELLEY |
| Practice Address |
503 Centre View Blvd Crestview Hills KY 41017-3444 |
| Mailing Address |
Po Box 17277 Covington KY 41017-0277 |
| Practice Telephone | 8594267800 |
| Practice Fax Number | 8594267804 |
| Mailing Telephone | 8594267800 |
| Mailing Fax Number | 8594267804 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1203 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235774696 | Mary Kathleen Kelley | Counselor | 11800 Sunset Hills Rd Unit 604, Reston, VA 20190-4783 | 2019-11-08 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1861806119 | Mary E Kelley | Registered Nurse | 298 Whipple Tree Dr, Yoncalla, OR 97499-9749 | 2014-06-15 |
| 1487903712 | Mary Ellen Kelley | Clinical Nurse Specialist | 5141 Michael Anthony Ln, Cincinnati, OH 45247-7945 | 2012-08-31 |
| 1508175282 | Mary A. Kelley | Occupational Therapist | 1 Gilbert Rd, New Hartford, NY 13413-2414 | 2010-09-29 |
| 1225274822 | Mary Campbell Kelley | Nurse Anesthetist, Certified Registered | 1215 21st Ave S Ste 3108, Mce 3108, Nashville, TN 37232-0014 | 2009-01-02 |
| 1891947743 | Mary Catherine Kelley | Acupuncturist | 28236 Wildlife Ln, Brooksville, FL 34602-7456 | 2008-10-22 |
| 1467602284 | Mary Virginia Kelley | Physical Therapist | 4584 Newport Ave, San Diego, CA 92107-2924 | 2008-09-29 |
| 1740489285 | Mary C Kelley | Registered Nurse | 6333 Troy Sidney Rd, Piqua, OH 45356-9213 | 2007-07-14 |
| 1164416277 | Mary Gay Kelley | Nurse Practitioner | 12425 W Bell Rd, Suite 200, Surprise, AZ 85378-9006 | 2005-09-02 |
| Street Address |
503 CENTRE VIEW BLVD |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235111634 | Daniel L Gripshover | Clinical Neuropsychologist | 503 Centre View Blvd, Crestview Hills, KY 41017-3444 | 2005-11-19 |
| 1346431434 | Neuroscience and Behavioral Health Associates | Clinical Neuropsychologist | 503 Centre View Blvd, Crestview Hills, KY 41017-3444 | 2007-08-05 |
| 1336330422 | Mcb Behavioral Health, P.l.l.c. | Psychologist | 503 Centre View Blvd, Crestview Hills, KY 41017-3444 | 2007-08-05 |
| 1750404000 | Joan Elaine Simpson-hoelmer | Psychologist | 503 Centre View Blvd, Crestview Hills, KY 41017 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649460098 | Kristy M Fritz | Psychologist | 2865 Chancellor Dr Ste 225, Crestview Hills, KY 41017-3915 | 2007-07-31 |
| 1942284963 | Mariana Belvedere | Psychologist | 503 Centre View Blvd., Mcb Behavioral Health, Crestview Hills, KY 41017-3444 | 2005-12-02 |
| 1700881356 | Lynn Harold Pierson | Psychologist | 2734 Chancellor Dr, Ste 211, Crestview Hills, KY 41017-3487 | 2005-06-19 |
| 1609363001 | Chelsea Marie Esmeier | Psychologist | 2865 Chancellor Dr Ste 105, Crestview Hills, KY 41017-3913 | 2018-04-20 |
| 1710261193 | Andrea Marie Schultz | Psychologist | 2865 Chancellor Dr, Suite 100, Crestview Hills, KY 41017-3912 | 2011-10-04 |
| 1972836260 | Jessica Marie Twehues | Psychologist | 2865 Chancellor Dr, Suite 100, Crestview Hills, KY 41017-3912 | 2009-09-17 |
| 1336330422 | Mcb Behavioral Health, P.l.l.c. | Psychologist | 503 Centre View Blvd, Crestview Hills, KY 41017-3444 | 2007-08-05 |
| 1750404000 | Joan Elaine Simpson-hoelmer | Psychologist | 503 Centre View Blvd, Crestview Hills, KY 41017 | 2007-04-09 |
| 1669504833 | Peter James Ganshirt | Psychologist | 226 Thomas More Pkwy, Crestview Hills, KY 41017-3424 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486230 | Angie Fabiola Hernandez | Psychologist | 1009 Fisk Ct, Lexington, KY 40511-8369 | 2020-10-26 |
| 1548869084 | Skaggs Consulting, Pllc | Psychologist | 501 Darby Creek Rd Ste 41, Lexington, KY 40509-1671 | 2020-10-24 |
| 1467050856 | Tyler J Ryan | Psychologist | 4220 Houston Rd, Erlanger, KY 41018-3402 | 2020-10-16 |
| 1801412424 | Melinda Moore | Psychologist | 144 E Lowry Ln, Lexington, KY 40503-2403 | 2020-06-19 |
| 1396377164 | Mariya Leyderman | Psychologist | 974 Breckenridge Ln # 171, Louisville, KY 40207-4619 | 2020-02-10 |
| 1841821196 | Sally Losson Brenzel | Psychologist | 10503 Timberwood Cir Ste 205, Louisville, KY 40223-5395 | 2020-01-27 |
| 1760948939 | True North Counseling & Development, Pllc | Psychologist | 2220 Executive Dr Ste 202, Lexington, KY 40505-4872 | 2019-02-13 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1902377864 | Green Meadows Wellness Center One, LLC | Psychologist | 1640 Meadow Creek Rd, Rockholds, KY 40759-9563 | 2018-12-17 |
| 1093299299 | Kallye Joanah Renner | Psychologist | 7426 Us 42 Ste 106, Florence, KY 41042-2056 | 2018-09-24 |
| Find all providers with the same taxonomy | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
Please comment or provide details below to improve the information on MARY L KELLEY.
| 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.