LUCAS DAVID KELLEY


Address: 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544
Phone: 8104448317

LUCAS DAVID KELLEY (NPI# 1255789145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255789145
Entity Type Individual
Full Name LUCAS DAVID KELLEY
Practice Address 668 3 Mile Ave Nw
Suite 2
Grand Rapids
MI 49544
Mailing Address 728 Prospect Ave Se
Grand Rapids
MI 49503-5344
Practice Telephone 8104448317
Mailing Telephone 8104448317
Enumeration Date 2016-06-01
Last Update Date 2017-03-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247200000X Technician, Other MI Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 668 3 MILE AVE NW
SUITE 2
City GRAND RAPIDS
State MI
Zip Code 49544

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437764511 Titiana Shanee Richardson Social Worker 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 2020-09-15
1699317792 Leah Grace Nesburg Speech-Language Pathologist 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 2019-10-10
1316467954 Hendrik Vanholsbeeck Dentist 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 2017-06-25
1467988584 Leah Feenstra Behavior Technician 668 3 Mile Nw, Grand Rapids, MI 49544 2017-05-10
1760920698 Heidi Catherine Stultz-griffey Pharmacist 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 2017-02-12
1336591791 Nicole Totten Dentist 3320 Alpine Ave., Grand Rapids, MI 49544 2016-07-11
1144611666 Stephen Kornoely Social Worker 2118 3 Mile Road Nw, Grand Rapids, MI 49544 2015-02-06
1023368305 Brian William Rogers Registered Nurse 712 North Center Dr. Nw, Grand Rapids, MI 49544 2012-09-14
1477885325 Wilson and Wynn Interventions Community/Behavioral Health 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 2010-02-03
1427221357 Jacqueline Ann Morse Pharmacist 2350 3 Mile Rd, Grand Rapids, MI 49544 2008-04-11
Find all providers in zip 49544

Taxonomy Information

Taxonomy Code 247200000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Other

Taxonomy Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104442656 Meredith Sparks Technician, Other 1053 Kirk Dr Se, Grand Rapids, MI 49546-3740 2020-06-21
1487276366 Sarah Zimmerman Technician, Other 2341 Valleywood Dr Se Apt L12, Grand Rapids, MI 49546-7707 2020-05-13
1497217343 Tegan Jackson Technician, Other 1823 Francis Ave Se, Grand Rapids, MI 49507-2418 2019-04-01
1710442256 Nancy Higgins Technician, Other 4031 Woodland Creek Dr Se Apt 204, Grand Rapids, MI 49512-8330 2019-02-08
1245736040 Cassandra Slater Technician, Other 2925 Breton Rd Se, Grand Rapids, MI 49512 2018-04-02
1891236626 Laura Weatherell Technician, Other 1192 Edna St Se, Grand Rapids, MI 49507-3707 2017-03-13
1093251696 Cindy Boersema Technician, Other 2184 Woodcliff Ave Se, Grand Rapids, MI 49546-5711 2017-01-06
1669916987 Andria K Zwerk Technician, Other 323 Manzana Ct Nw, 1c, Grand Rapids, MI 49534-8430 2016-12-05
1821548504 Alison Anderson Technician, Other 103 Roth St Se, Grand Rapids, MI 49548 2016-10-06
1821548439 Lyla Whitney Technician, Other 2017 Edgewood Ave Ne, Grand Rapids, MI 49505-4217 2016-10-06
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49544

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Dataset Information

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.

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