KELLY BREWER


Address: 308 Ne 2nd St, Wagoner, OK 74467-4441
Phone: 9184854046

KELLY BREWER (NPI# 1326409830) 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) 1326409830
Entity Type Individual
Full Name KELLY BREWER
Practice Address 308 Ne 2nd St
Wagoner
OK 74467-4441
Practice Telephone 9184854046
Practice Fax Number 9184858710
Mailing Telephone 9184854046
Mailing Fax Number 9184858710
Enumeration Date 2016-03-10
Last Update Date 2016-03-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Other Providers KELLY BREWER

NPI Name Taxonomy Address Enumeration
1740896646 Kelly Anne Brewer Respiratory Therapist, Registered 500 N. State Route 89, Cpap Clinic, Prescott, AZ 86313 2020-09-17
1053786582 Kelly Brewer Speech-Language Pathologist 3211 Starboard Ln, Anchorage, AK 99516-3518 2015-12-09
1871106922 Kelly Schorling Brewer Registered Nurse 1959 Ne Pacific St, Seattle, WA 98195-7263 2020-08-28
1255859062 Kelly Brewer Social Worker 5665 Hoover Rd, Grove City, OH 43123-9122 2017-08-31
1679966089 Kelly A Brewer Registered Nurse 1140 M St, Greeley, CO 80631-9586 2015-03-09
1962729590 Kelly John Brewer Counselor 1034 Oak Grove Rd, Concord, CA 94518-3225 2010-04-21
1154655629 Kelly Ann Brewer Dentist 1627 Oak Ave, Suite B, Davis, CA 95616-1072 2009-09-30
1699913830 Kelly Miller Brewer Registered Nurse 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 2009-01-26
1508983065 Kelly Ann Brewer Social Worker 245 Windward Way Ste 101, Kalispell, MT 59901-3385 2007-03-22

Office Location

Street Address 308 NE 2ND ST
City WAGONER
State OK
Zip Code 74467-4441

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982823431 Wagoner Public Schools Public Health or Welfare 308 Ne 2nd St, Wagoner, OK 74467-4441 2007-04-24
1851831341 Renee Miller Speech-Language Pathologist 308 Ne 2nd St, Wagoner, OK 74467 2017-03-02
1821538513 Morgan Thompson Speech-Language Pathologist 308 Ne 2nd St, Wagoner, OK 74467 2017-03-01
1912447608 Amanda Berg Speech-Language Pathologist 308 Ne 2nd St, Wagoner, OK 74441 2017-03-01
1932648052 Beau Bowman Technician 308 Ne 2nd St, Wagoner, OK 74467 2017-02-22
1639530140 Phyllis Tottress Technician 308 Ne 2nd St, Wagoner, OK 74467-4441 2016-03-10
1194186619 Randy Lewis Technician 308 Ne 2nd St, Wagoner, OK 74467-4441 2016-03-10
1740641265 Cory Allison Technician 308 Ne 2nd St, Wagoner, OK 74467-4441 2016-03-10
1205297710 Isaura Vermillion Technician 308 Ne 2nd St, Wagoner, OK 74467-4441 2016-03-10
1083075584 Lisa Smith Technician 308 Ne 2nd St, Wagoner, OK 74467-4441 2016-03-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982251591 Alesha Lenard Behavior Technician 901 S. Harrill Ave, Wagoner, OK 74467 2019-08-20
1679030597 Lorri Dawn Pitchford Case Manager/Care Coordinator Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 2019-02-27
1144769399 Elaina Murray Technician 308 Ne 2nd St., Wagoner, OK 74467 2017-02-21
1336699784 Tommye Evidson Counselor 109 Harrill Ave, Wagoner, OK 74467 2016-10-10
1518327857 Yco Tulsa, Inc Clinic/Center 1101a South Mcquarrie, Wagoner, OK 74467 2016-02-29
1396117545 Sandra Cooper Behavioral Analyst 2109 Us-69, Wagoner, OK 74467 2015-10-28
1588051486 Penny Nye Counselor 2109 S.hwy 69, Wagoner, OK 74467 2015-04-20
1376943571 Justin F Kurtz Respiratory Therapist, Certified 1200 W. Cherokee, Suite H Cardiac/pulmonary Rehab, Wagoner, OK 74467 2014-08-26
1780009969 David H Good Family Medicine 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 2014-02-25
1942598875 Robin Rodriguez-higginbottom Speech-Language Pathologist 215 E Cherokee St, Wagoner, OK 74467 2011-07-12
Find all providers in zip 74467

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083112205 Anthony Wineland Technician 601 Se 6th St, Wagoner, OK 74467-6212 2018-01-23
1811405178 Jordan Hurst Technician 500 Bulldog Cir, Wagoner, OK 74467-4522 2018-01-19
1144769399 Elaina Murray Technician 308 Ne 2nd St., Wagoner, OK 74467 2017-02-21
1932648052 Beau Bowman Technician 308 Ne 2nd St, Wagoner, OK 74467 2017-02-22
1639530140 Phyllis Tottress Technician 308 Ne 2nd St, Wagoner, OK 74467-4441 2016-03-10
1194186619 Randy Lewis Technician 308 Ne 2nd St, Wagoner, OK 74467-4441 2016-03-10
1740641265 Cory Allison Technician 308 Ne 2nd St, Wagoner, OK 74467-4441 2016-03-10
1205297710 Isaura Vermillion Technician 308 Ne 2nd St, Wagoner, OK 74467-4441 2016-03-10
1083075584 Lisa Smith Technician 308 Ne 2nd St, Wagoner, OK 74467-4441 2016-03-10
1043671548 Sylvia Clark Technician 308 Ne 2nd St, Wagoner, OK 74467-4441 2016-03-10
Find all providers in WAGONER

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City WAGONER
Zip Code 74467

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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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