JACQUELINE KELLY (NPI# 1235231630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235231630 |
| Entity Type | Individual |
| Full Name | JACQUELINE KELLY |
| Credential | MD |
| Practice Address |
269 Peninsula Farm Rd Suite F Arnold MD 21012-1013 |
| Practice Telephone | 4105189808 |
| Practice Fax Number | 4105189842 |
| Mailing Telephone | 4105189808 |
| Mailing Fax Number | 4105189842 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2015-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D21616 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 790131300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104169283 | Jacqueline Kelly | Internal Medicine | 500 West Fort St. #111, Boise Vamc, Boise, ID 83702 | 2013-03-27 |
| 1669432498 | Jacqueline F Kelly | Legal Medicine | 1428 S Osprey Ave, Sarasota, FL 34239-2914 | 2006-03-24 |
| 1699774505 | Jacqueline Kelly | General Practice | 300 E 8th St, G-159, Austin, TX 78701-3233 | 2005-07-21 |
| 1558855296 | Jacqueline Kelly | Nurse Practitioner | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2018-06-17 |
| 1730507971 | Jacqueline Kelly | Radiology | 20 York St, Ynhh Department of Therapeutic Radiology, New Haven, CT 06510-3220 | 2014-04-04 |
| 1710293436 | Jacqueline Kelly | Marriage & Family Therapist | 220 George W Liles Pkwy Nw, Concord, NC 28027-6531 | 2010-08-19 |
| 1124109624 | Jacqueline Kelly | Nurse Practitioner | 400 Gresham Dr, Suite 303, Norfolk, VA 23507-1901 | 2006-10-18 |
| Street Address |
269 PENINSULA FARM RD SUITE F |
| City | ARNOLD |
| State | MD |
| Zip Code | 21012-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679548804 | Ramona Gwen Seidel | Family Medicine | 269 Peninsula Farm Rd, Suite F, Arnold, MD 21012-1013 | 2006-02-21 |
| 1548878903 | Marcus Lachapelle | Pharmacist | 269 Peninsula Farm Rd, Arnold, MD 21012-1013 | 2020-07-21 |
| 1780941971 | Birgitta Miller Md LLC | Clinic/Center | 269 Peninsula Farm Rd, Suite F, Arnold, MD 21012-1013 | 2012-04-12 |
| 1801911813 | Janelle Love | Family Medicine | 269 Peninsula Farm Rd, Arnold, MD 21012-1013 | 2007-03-20 |
| 1851403166 | Elizabeth Posoli | Physician Assistant | 269 Peninsula Farm Rd, Suite F, Arnold, MD 21012-1013 | 2006-08-31 |
| 1265451488 | Adrian D Lachapelle | Pharmacist | 269 Peninsula Farm Rd, Suite 1e, Arnold, MD 21012-1013 | 2006-07-19 |
| 1629010483 | Broadneck Pharmacy Inc | Pharmacy | 269 Peninsula Farm Rd, Arnold, MD 21012-1013 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750940581 | Hope Psych Services LLC | Counselor | 273 Peninsula Farm Road, Building 2 Suite F, Arnold, MD 21012 | 2019-06-05 |
| 1912411877 | Kristen Sanniec | Counselor | 277 Peninsula Farm Rd Ste J, Arnold, MD 21012 | 2017-11-29 |
| 1942726260 | Stephen Seo | Pharmacist | 1230 Bay Dale Drive, Arnold, MD 21012 | 2017-08-17 |
| 1467989723 | Stacey Schuchard | Social Worker | 122 Brent Rd, Arnold, MD 21012 | 2017-05-17 |
| 1306201199 | Domicare Health Corp | Home Health | 709 Capri Estates Ct, Arnold, MD 21012 | 2015-12-21 |
| 1841534260 | Arnold Veterinary Medical Group, Ltd | Special Hospital | 1414 Ritchie Highway, Arnold Veterinary Hospital, Arnold, MD 21012 | 2012-11-26 |
| 1629398334 | Jessica Ami Collins | Social Worker | 1298 Bay Dale Dr Ste 11, Arnold, MD 21012 | 2010-06-03 |
| 1447407523 | Safe Harbor Christian Counseling of Annapolis Inc | Counselor | 461 College Parkway, Arnold, MD 21012 | 2008-08-20 |
| 1992979009 | Sheri Berberian | Speech-Language Pathologist | 1215 Viking Drive North, Arnold, MD 21012 | 2008-04-18 |
| 1467583823 | Henrik L Anderson | Dentist | 269b Peninsula Farm Road, Broadneck Medical Center, Arnold, MD 21012 | 2007-03-08 |
| Find all providers in zip 21012 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760597652 | Marsha Vedova | Pediatrics | 1765 Old State Route 21, Arnold, MO 63010-3205 | 2006-08-20 |
| 1851378475 | Jennifer B Foersterling | Pediatrics | 150 Richardson Xing, Arnold, MO 63010-6023 | 2005-12-23 |
| 1780678375 | Carl Jeffrey Sippel | Pediatrics | 3530 Jeffco Blvd, Suite 110, Arnold, MO 63010-6101 | 2005-09-09 |
| 1619978582 | Yann Yann Lin | Pediatrics | 1212 Asquithpines Pl, Arnold, MD 21012-2149 | 2005-08-02 |
| 1578568689 | Monzer Naji | Pediatrics | 4150 Jeffco Blvd, Arnold, MO 63010-4234 | 2005-06-15 |
| 1144404955 | Diana M Roukoz | Pediatrics | 3530 Jeffco Blvd, Suite 110, Arnold, MO 63010-6101 | 2007-12-28 |
| 1558560961 | Peter Bess | Pediatrics | 1765 Old State Route 21, Arnold, MO 63010-3205 | 2007-07-16 |
| 1700991767 | Michael Glines | Pediatrics | 1765 Old State Route 21, Arnold, MO 63010-3205 | 2006-08-20 |
| 1447365333 | Jefferson Pediatrics, LLC. | Pediatrics | 1765 Old State Route 21, Arnold, MO 63010-3205 | 2006-08-20 |
| 1205941101 | Pediatric Screening Services | Pediatrics | 1765 Old State Route 21, Arnold, MO 63010-3205 | 2006-08-20 |
| Find all providers in ARNOLD | ||||
Please comment or provide details below to improve the information on JACQUELINE KELLY.
| 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.