KELLY EVANS (NPI# 1124107693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124107693 |
| Entity Type | Individual |
| Full Name | KELLY EVANS |
| Credential | D.O. |
| Practice Address |
85 Highway 80 Manchester KY 40962-8801 |
| Mailing Address |
1019 Cumberland Falls Hwy Suite B201 Corbin KY 40701-2735 |
| Practice Telephone | 6065960410 |
| Practice Fax Number | 6065288272 |
| Mailing Telephone | 6065269005 |
| Mailing Fax Number | 6065268606 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 02584 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64012206 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407211352 | Kelly Evans | Home Health Aide | 13947 Castille St, Victorville, CA 92392-5508 | 2015-12-19 |
| 1396178174 | Kelly Evans | Counselor | 8 Reservoir Circle, Suite 103, Families Connected, LLC, Baltimore, MD 21208 | 2013-08-15 |
| 1093027906 | Kelly Anne Evans | Marriage & Family Therapist | 408 Saint Peter St Ste 429, Saint Paul, MN 55102-1119 | 2010-07-08 |
| 1235289976 | Kelly Carter Evans | Counselor | 27888 Meadow Dr, Suite 106, Evergreen, CO 80439-2102 | 2007-01-12 |
| 1720165251 | Kelly Charles Evans | Psychologist | 2714 Stewart Ave, Wausau, WI 54401-4153 | 2006-11-01 |
| 1730654104 | Kelly Evans | Speech-Language Pathologist | 13333 Blanco Rd Ste 310, San Antonio, TX 78216-7756 | 2018-10-11 |
| 1508341181 | Kelly Evans | Nurse Practitioner | 6616 Center Grove, Edwardsville, IL 62025 | 2018-09-28 |
| 1699221663 | Kelly Ann Evans | Nurse Anesthetist, Certified Registered | 51 N 39th St, Philadelphia, PA 19104-2640 | 2016-08-30 |
| 1245785534 | Kelly Evans | Counselor | 3701 Landsdowne Dr, Ashland, KY 41102-5422 | 2016-08-17 |
| 1093024721 | Kelly L Evans | Pharmacist | 1675 Leahy St, Stuite 111, Muskegon, MI 49442-5500 | 2010-09-29 |
| Street Address |
85 HIGHWAY 80 |
| City | MANCHESTER |
| State | KY |
| Zip Code | 40962-8801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043775117 | Kassidy Michaela Carpenter | Social Worker | 85 Highway 80, Manchester, KY 40962-8801 | 2019-02-04 |
| 1649744616 | Grace Community Health Center Inc | Pharmacy | 85 Highway 80, Manchester, KY 40962-8801 | 2019-01-14 |
| 1487128450 | Grace Community Health Center Inc | Pharmacy | 85 Highway 80, Manchester, KY 40962-8801 | 2019-01-14 |
| 1225552029 | Natasha L. Roberts | Nurse Practitioner | 85 Highway 80, Manchester, KY 40962-8801 | 2017-08-02 |
| 1427489640 | April Hurley | Nurse Practitioner | 85 Highway 80, Manchester, KY 40962-8801 | 2013-12-13 |
| 1902048481 | Grace Community Health Center, Inc. | Psychologist | 85 Highway 80, Manchester, KY 40962-8801 | 2009-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392356 | Angela Woods | Speech-Language Pathologist | 96 Woods Rd, Manchester, KY 40962 | 2017-08-15 |
| 1346627296 | Betty Alevras | Nurse Practitioner | 21 Crestview Drive, 204 Town Branch Road, Manchester, KY 40962 | 2015-04-29 |
| 1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
| 1669758579 | Becky F Stubblefield | Nurse Practitioner | 65 Glenndale Drive, Manchester, KY 40962 | 2011-10-25 |
| 1891022315 | Sabrina Nicole Hacker | Occupational Therapist | 376 Manchester Square Shopping Centre, Manchester, KY 40962 | 2009-11-04 |
| 1114102167 | H&n Drug | Durable Medical Equipment & Medical Supplies | 515 Memorial Dr., Suite 2, Manchester, KY 40962 | 2008-01-08 |
| 1598944043 | Cumberland Valley Dist. Health Dept | Public Health or Welfare | 1983 Hwy 421, Manchester, KY 40962 | 2007-11-01 |
| 1023223203 | Dinah Lynn Sowders | Speech-Language Pathologist | 561 Mill Pond Drive, Manchester, KY 40962 | 2007-05-11 |
| 1104965300 | American Health Management, Inc. | Case Management | 2609 Hwy 80, Manchester, KY 40962 | 2007-02-05 |
| 1306902572 | Manchester Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 415 Richmond Road, Unit B, Manchester, KY 40962 | 2006-12-29 |
| Find all providers in zip 40962 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558719476 | Plan Ahead Medical Services, LLC | Internal Medicine | 493 Walnut St, Manchester, NH 03104-2312 | 2016-06-01 |
| 1750737474 | Zachary Stevens | Internal Medicine | 100 Mcgregor St Rm 1980, Manchester, NH 03102-3730 | 2016-05-12 |
| 1962780940 | Imelda Angelica Perez Cirilo | Internal Medicine | 629 Middle Tpke E, Manchester, CT 06040-3731 | 2011-07-25 |
| 1366670754 | Johny Hanna Simon Kuttab | Internal Medicine | 1 Elliot Way # 100, Manchester, NH 03103 | 2009-06-24 |
| 1811142409 | Gregory E. White | Internal Medicine | 75 Steinmetz Dr, Manchester, NH 03104-1830 | 2008-11-24 |
| 1861646952 | Mediclinik | Internal Medicine | 14173 Manchester Rd Ste C, Manchester, MO 63011-4524 | 2008-11-16 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1669635694 | Patrick Scanlon | Internal Medicine | 87 Mcgregor St Ste 1300, Manchester, NH 03102-3765 | 2008-07-09 |
| 1659538239 | Dr. Biesek Pllc | Internal Medicine | 1650 Elm St Ste 302, Manchester, NH 03101-1217 | 2008-05-21 |
| 1023283009 | Peter Wilson Shaw | Internal Medicine | 100 Mcgregor St # Stb, Manchester, NH 03102 | 2008-04-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 40962 |
Please comment or provide details below to improve the information on KELLY EVANS.
| 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.