KELLY KING (NPI# 1164649406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164649406 |
| Entity Type | Individual |
| Full Name | KELLY KING |
| Practice Address |
952 E Baseline Rd Suite A106 Mesa AZ 85204-6627 |
| Practice Telephone | 4809266309 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1441 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992362305 | Kelly Knepper King | Physician Assistant | 1490 Williamsboro St, Oxford, NC 27565-3498 | 2019-05-21 |
| 1023302718 | Kelly King | Physical Therapy Assistant | 2116 Sweet Gum Dr, Jonesboro, AR 72401-3603 | 2011-05-31 |
| 1801122403 | Kelly B King | Physical Therapist | 406 Cook Ct, Hopkinsville, KY 42240-8714 | 2009-11-02 |
| 1235327883 | Kelly Marie King | Physician Assistant | 13013 Sw Caddy Pl, Tigard, OR 97223-2892 | 2007-10-09 |
| 1558469106 | Kelly King | Internal Medicine | 751 Horizon Ct, Suite 202, Grand Junction, CO 81506-8733 | 2006-09-20 |
| 1699709204 | Kelly L King | Physical Therapist | 309 Highway 641 N, Camden, TN 38320-3011 | 2006-07-10 |
| 1114998606 | Kelly Ennix King | Internal Medicine | 6901 Simmons Loop, 4th Floor, Riverview, FL 33578-9498 | 2006-02-01 |
| 1659355410 | Kelly Ann King | Internal Medicine | 1835 Oddie Blvd, Sparks, NV 89431-3559 | 2005-12-05 |
| 1063049062 | Kelly King | Student in an Organized Health Care Education/Training Program | 272 Congress St, Portland, ME 04101-3637 | 2020-03-27 |
| 1811527823 | Kelly King | Behavioral Analyst | 1000 Plantation Rd Ste D, Thibodaux, LA 70301-4264 | 2020-01-17 |
| Street Address |
952 E BASELINE RD SUITE A106 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-6627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497888978 | Deepali Dhananjay Vidwans | Occupational Therapist | 952 E Baseline Rd, Suite A106, Mesa, AZ 85204-6627 | 2007-03-13 |
| 1881867901 | Lori Howe IIi | Occupational Therapist | 952 E Baseline Rd, Ste A106, Mesa, AZ 85204-6627 | 2008-04-09 |
| 1720265192 | Corrine Akers | Occupational Therapist | 952 E Baseline Rd, Suite A106, Mesa, AZ 85204-6627 | 2008-01-28 |
| 1245425248 | Erin Kolbus | Speech-Language Pathologist | 952 E Baseline Rd, Ste. A106, Mesa, AZ 85204-6627 | 2007-09-12 |
| 1316132327 | Rebecca Goldstein | Occupational Therapist | 952 E Baseline Rd, Ste. A106, Mesa, AZ 85204-6627 | 2007-09-12 |
| 1831398387 | Jeff R Thiboutot | Nutritionist | 952 E Baseline Rd, Suite 119, Mesa, AZ 85204-6627 | 2007-07-15 |
| 1245452044 | Erin Roseman | Occupational Therapist | 952 E Baseline Rd, Suite A106, Mesa, AZ 85204-6627 | 2007-05-02 |
| 1174742100 | Joann Mcfee | Occupational Therapist | 952 E Baseline Rd, Suite A106, Mesa, AZ 85204-6627 | 2007-04-25 |
| 1780803940 | Elaine Truitt | Occupational Therapist | 952 E Baseline Rd, Suite A106, Mesa, AZ 85204-6627 | 2007-04-25 |
| 1164640322 | Beverly Sector | Occupational Therapist | 952 E Baseline Rd, Suite A106, Mesa, AZ 85204-6627 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245495829 | Kathleen Milner | Physical Therapist | 4554 E Inverness Ave Ste C-1, Mesa, AZ 85206-4639 | 2008-07-23 |
| 1245436468 | Mandy Marie Gandhi | Physical Therapist | 4554 E Inverness Ave Ste C1, Mesa, AZ 85206-4639 | 2007-06-25 |
| 1497968820 | Kristin Hix | Physical Therapist | 952 E. Baseline Rd., Suite A106, Mesa, AZ 85204 | 2007-05-08 |
| 1568583060 | Jennifer Lynne Weil | Physical Therapist | 11229 E Renfield Ave, Mesa, AZ 85212-4158 | 2007-04-02 |
| 1508929316 | Jessica Basha | Physical Therapist | 3403 E Main St # 208, Mesa, AZ 85213-8683 | 2006-12-19 |
| 1124194675 | Linda S Beckman | Physical Therapist | 1522 E Granada Cir, Mesa, AZ 85203-4420 | 2006-11-27 |
| 1508931569 | Fiesta Pediatric Therapy | Physical Therapist | 930 W Southern Ave, Suite 10, Mesa, AZ 85210-4938 | 2006-11-22 |
| 1467800128 | Stephanie Van De Water | Physical Therapist | 844 N Ellsworth Rd, Mesa, AZ 85207-5114 | 2016-06-02 |
| 1942660618 | S.e.e.k. Arizona, LLC | Physical Therapist | 1830 S Alma School Rd, Suite 130, Mesa, AZ 85210 | 2016-02-24 |
| 1326445156 | Emmah Njoki | Physical Therapist | 4542 E Inverness Ave, Mesa, AZ 85206-4619 | 2014-11-21 |
| Find all providers in MESA | ||||
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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.