DR. KELLY NEIL WEST (NPI# 1245389071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245389071 |
| Entity Type | Individual |
| Full Name | DR. KELLY NEIL WEST |
| Credential | M.D. |
| Practice Address |
9th Medical Group 15301 Warren Shingle Road Beale Afb CA 95903-1907 |
| Mailing Address |
2007 Letterkenny Ln Lincoln CA 95648-7607 |
| Practice Telephone | 5306344935 |
| Mailing Telephone | 5306344935 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | 20349 | AL | Allopathic & Osteopathic Physicians |
| X | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
20349 | AL | Allopathic & Osteopathic Physicians |
| X | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
20349 | AL | Allopathic & Osteopathic Physicians |
| X | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
20349 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285299883 | Kelly West | Physical Therapist | 3949 Evans To Locks Rd, Evans, GA 30809-8054 | 2019-05-08 |
| 1366992760 | Kelly Ann West | Nurse Practitioner | 1236 Knoxville Hwy., Wartburg, TN 37887-4200 | 2016-10-10 |
| 1053736546 | Kelly Rae West | Registered Nurse | 19197 Golden Valley Rd # 923, Santa Clarita, CA 91387-1428 | 2014-02-20 |
| 1467763490 | Kelly Nicole West | Speech-Language Pathologist | 32201 S 655 Rd, Grove, OK 74344-7647 | 2010-06-24 |
| 1932431624 | Kelly Joy West | Music Therapist | 13625 S 48th St, Apt. 2210, Phoenix, AZ 85044-5000 | 2010-02-04 |
| 1669703088 | Kelly Lynn West | Dentist | 608 E Bailey Boswell Rd, Suite 100, Saginaw, TX 76131-3569 | 2010-01-25 |
| 1447585278 | Kelly David West | Massage Therapist | 9112 E Lacrosse Ln, Spokane Valley, WA 99206-4585 | 2009-10-13 |
| 1134393929 | Kelly Leigh West | Pathology | 2006 New Garden Road, Suite 106, Greensboro, NC 27410-2567 | 2008-04-14 |
| 1760582480 | Kelly Nicole West | Dentist | 1245 Cheyenne Ave, Suite 104, Grafton, WI 53024 | 2006-09-23 |
| 1376102319 | Kelly West | Registered Nurse | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2019-06-12 |
| Street Address |
9TH MEDICAL GROUP 15301 WARREN SHINGLE ROAD |
| City | BEALE AFB |
| State | CA |
| Zip Code | 95903-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962575969 | Linda Lee Currier | Physical Therapist | 9 Medical Group, 15301 Warren Shingle Road, Beale Afb, CA 95903 | 2006-11-16 |
| 1700984853 | Kimberly D Kumer | Psychiatry & Neurology | 15301 Warren Shingle Road, Beale Afb, CA 95903 | 2006-09-20 |
| 1780637124 | Lillie M Mells | Social Worker | 9mdos/sgoh, 15301 Warren Shingle Road, Beale Afb, CA 95903 | 2006-05-18 |
| 1962926907 | James Perman | Dentist | 15301 Warren Shingle Rd, Beale Afb, CA 95903 | 2017-08-01 |
| 1487990768 | Amy Abroms | Social Worker | 15301 Warren Shingle Rd, Beale Afb, CA 95903 | 2012-12-14 |
| 1003109844 | Jerrica Marie Wild | Military Health Care Provider | 15301 Warren Shingle Road, Beale Afb, CA 95903 | 2011-05-26 |
| 1568751378 | Sarah Elizabeth Avila | Family Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903 | 2011-04-01 |
| 1396064218 | Thomas Michael Skinner | Family Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903 | 2010-05-18 |
| 1306178900 | Kourtni Starkey | Preventive Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903 | 2010-02-05 |
| 1972740728 | Enrilyn Robles Thronson | Pediatrics | 15301 Warren Shingle Rd, Beale Afb, CA 95903 | 2009-01-15 |
| Find all providers in zip 95903 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982051561 | Faraz Ghoddusi | Family Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2016-05-24 |
| 1003296302 | Claire Hendrix | Family Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2015-06-02 |
| 1891131702 | Sumit Bagga | Family Medicine | 15301 Warren Shingle Rd, 9th Medical Group, Beale Afb, CA 95903-1907 | 2013-05-18 |
| 1568751378 | Sarah Elizabeth Avila | Family Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903 | 2011-04-01 |
| 1396064218 | Thomas Michael Skinner | Family Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903 | 2010-05-18 |
| 1902087182 | Courtney Mapes | Family Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2007-11-16 |
| 1003095696 | Timothy Lon Halpin | Family Medicine | 15301 Warren Shingle Rd, 9th Medical Group Clinic, Beale Afb, CA 95903-1907 | 2007-10-30 |
| 1790796522 | Mary Beth Durbin | Family Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2006-08-10 |
| 1790771210 | Ian David Gregory | Family Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2005-09-20 |
| 1811981889 | Mario Alfredo Silva | Family Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2005-09-07 |
| Find all providers in BEALE AFB | ||||
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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.