WESLEY KYLE KELLEY (NPI# 1144742735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144742735 |
| Entity Type | Individual |
| Full Name | WESLEY KYLE KELLEY |
| Credential | NP |
| Practice Address |
505 Amelia Ave Bainbridge GA 39819-4355 |
| Mailing Address |
1500 E Shotwell Bainbridge GA 39819-4256 |
| Practice Telephone | (229) 243-6900 |
| Practice Fax Number | 2292436919 |
| Mailing Telephone | 2292463500 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN230209 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003193034A | 05 | |
| GA | MEDICAL LICENSE | RN230209 | 01 |
| Street Address |
505 AMELIA AVE |
| City | BAINBRIDGE |
| State | GA |
| Zip Code | 39819-4355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831189984 | Gloria Browne | Family Medicine | 505 Amelia Ave, Bainbridge, GA 39819-4355 | 2005-10-28 |
| 1376029066 | Breanna Lynn Darley | Registered Nurse | 505 Amelia Ave, Bainbridge, GA 39819-4355 | 2018-07-16 |
| 1649798869 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 505 Amelia Ave, Bainbridge, GA 39819-4355 | 2017-09-08 |
| 1013280353 | George Joseph Myers Iv | Surgery | 505 Amelia Ave, Bainbridge, GA 39819-4355 | 2012-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841455599 | Dayna Malia Watson | Counselor | 410 West St., Bainbridge, GA 39819 | 2008-07-22 |
| 1740324342 | Jack Hobson Leverett Sr. | Dentist | 1515 Miluli Ave, Bainbridge, GA 39819 | 2007-02-16 |
| 1033212634 | Primary Care Inc | Family Medicine | 315 S Blvd Dr, Bainbridge, GA 39819 | 2006-09-07 |
| 1326060187 | Donald Ray Robinson | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2006-07-24 |
| 1255385126 | Linda Jones | Emergency Medicine | 1500 E. Shotwell St., Memorial Hospital & Manor, Bainbridge, GA 39819 | 2006-05-22 |
| 1962464578 | Lillian Ann Crews | Physical Therapy Assistant | 713 East Shotwell St, Bainbridge, GA 39819 | 2006-04-06 |
| 1134181738 | Rachel S Lauder | Physical Therapist | 713 E Shotwell Street, Bainbridge, GA 39819 | 2006-04-06 |
| 1275012015 | Lisa J Sellers | Nurse Practitioner | 509 Wheat Ave, Bainbridge, GA 39819 | 2018-08-13 |
| 1588186324 | Hospital Authority of The City of Bainbridge and Decatur County | Pharmacy | 1500 East Shotwell Street, Bainbridge, GA 39819 | 2017-07-13 |
| 1861531915 | Burke & Robinson Md PC | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2007-02-05 |
| Find all providers in zip 39819 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932731361 | Port Medical Management Inc | Nurse Practitioner | 920 S West St, Bainbridge, GA 39819-4581 | 2020-02-04 |
| 1184191835 | Brandy M Jordan | Nurse Practitioner | 865 Chambliss Rd, Bainbridge, OH 45612-9432 | 2018-10-31 |
| 1013306547 | Brittney Tyus | Nurse Practitioner | 509 Wheat Ave, Bainbridge, GA 39819-4321 | 2015-01-21 |
| 1164032330 | Rita Mae Sekula | Nurse Practitioner | 1408 Tallahassee Hwy Ste Z, Bainbridge, GA 39819-7900 | 2020-08-03 |
| 1467062620 | Rachel Jacobs Parker | Nurse Practitioner | 1408 Tallahassee Hwy Ste Z, Bainbridge, GA 39819-7900 | 2020-08-03 |
| 1518422450 | Emily Conoly | Nurse Practitioner | 509 Wheat Ave, Bainbridge, GA 39819-4321 | 2019-02-05 |
| 1386120046 | Lawante Laniece Bryant-scott | Nurse Practitioner | 432 E Shotwell St, Bainbridge, GA 39819-4058 | 2018-07-16 |
| 1932567708 | Tracy Smith | Nurse Practitioner | 1501 Miluli Ave, Bainbridge, GA 39819-5700 | 2016-02-08 |
| 1609889021 | Elizabeth Maria Hollis | Nurse Practitioner | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2006-08-15 |
| 1578591442 | Deborah Flowers | Nurse Practitioner | 603 Wheat Ave, Suite 450, Bainbridge, GA 39819-4360 | 2006-06-29 |
| Find all providers in BAINBRIDGE | ||||
| City | BAINBRIDGE |
| Zip Code | 39819 |
Please comment or provide details below to improve the information on WESLEY KYLE 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.