MS. KELLIE LYN DUNKIN (NPI# 1285060947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285060947 |
| Entity Type | Individual |
| Full Name | MS. KELLIE LYN DUNKIN |
| Credential | MSN NP |
| Practice Address |
451 S Park Ridge Rd Suite 101 Bloomington IN 47401-8589 |
| Practice Telephone | 8123318282 |
| Practice Fax Number | 8123318283 |
| Mailing Telephone | 8123318282 |
| Mailing Fax Number | 8123318283 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
28140084A | IN | Ambulatory Health Care Facilities |
| Street Address |
451 S PARK RIDGE RD SUITE 101 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-8589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255369 | James Matthew Andry | Family Medicine | 451 S Park Ridge Rd, Suite 101, Bloomington, IN 47401-8589 | 2005-06-16 |
| 1225507353 | Kelsi Moore | Behavior Technician | 451 S Park Ridge Rd, Bloomington, IN 47401-8589 | 2018-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1063489805 | Healthspot | Clinic/Center | 3064 E 3rd St, Bloomington, IN 47401-5425 | 2006-03-01 |
| 1427569367 | Wellness for Life | Clinic/Center | 524 N Fairview St, Bloomington, IN 47404-3774 | 2017-10-18 |
| 1811385925 | Activate Healthcare - Monroe Clinic | Clinic/Center | 119 W 7th St, Bloomington, IN 47404-3926 | 2014-12-26 |
| 1295005445 | Chestnut Health System, Inc | Clinic/Center | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2012-01-05 |
| 1669752960 | Immanuel Health Center | Clinic/Center | 502 S Morris Ave, Suite A, Bloomington, IL 61701-4884 | 2011-08-18 |
| 1174706816 | Central Illinois Pediatric Associates LLC | Clinic/Center | 2427 Maloney Dr, Bloomington, IL 61704-3750 | 2007-12-17 |
| 1265614242 | Advacare Clinics,ltd | Clinic/Center | 5001 American Blvd W, Ste.945, Bloomington, MN 55437-1108 | 2007-11-30 |
| 1528108941 | Cook Family Health Center | Clinic/Center | 402 N Rogers St, Bloomington, IN 47404-3740 | 2007-02-07 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
Please comment or provide details below to improve the information on MS. KELLIE LYN DUNKIN.
| 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.