KELSEY TALLMAN


Address: 2823 Fresno St, Fresno, CA 93721-1324
Phone: 5594593705

KELSEY TALLMAN (NPI# 1326604216) 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) 1326604216
Entity Type Individual
Full Name KELSEY TALLMAN
Practice Address 2823 Fresno St
Fresno
CA 93721-1324
Mailing Address 2625 E Divisadero St
Fresno
CA 93721-1431
Practice Telephone 5594593705
Practice Fax Number 5594593720
Mailing Telephone 5594432682
Mailing Fax Number 5594432681
Enumeration Date 2019-05-15
Last Update Date 2020-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
57062 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2823 FRESNO ST
City FRESNO
State CA
Zip Code 93721-1324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073502449 Catherine C Thaxter Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2005-10-19
1558973362 Craig M Peek Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2020-08-21
1336759513 James M Nguyen Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2020-08-03
1205445715 Mckinsey Holthaus Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2020-07-30
1285257063 Blake Phillip Dreihaus Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2020-05-27
1639792831 Surpreme Health Internal Medicine 2823 Fresno St, Fresno, CA 93721-1324 2020-05-21
1588286439 Haylee Degrood Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2020-05-14
1710509013 Katherine Marie Pate Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2020-05-11
1154941011 Kylie Wermund Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2020-04-21
1326674292 Amritpal Singh Padda Nurse Practitioner 2823 Fresno St, Fresno, CA 93721-1324 2020-03-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487297107 Fareeha Sipra Nurse Practitioner Fresno County Jail, 1225 M Street, Fresno, CA 93721 2019-10-25
1619521929 Kepler Education Incorporation Local Education Agency (LEA) 1462 Broadway St., Fresno, CA 93721 2019-07-25
1588156434 Micha Ramirez Case Manager/Care Coordinator 2140 Merced St., Fresno, CA 93721 2018-06-05
1649798992 Nadia C Martinez Licensed Vocational Nurse 1310 M. Street, Fresno, CA 93721 2017-09-07
1538604251 Be Together Home Care LLC In Home Supportive Care 2014 Tulare St Ste 605, Fresno, CA 93721 2017-01-04
1124426705 Central California Faculty Medical Group, Inc. Durable Medical Equipment & Medical Supplies 2554 Merced Street, Fresno, CA 93721 2014-12-12
1427455336 University Medical Supply Durable Medical Equipment & Medical Supplies 2554 Merced St, Fresno, CA 93721 2014-11-21
1154723542 Ryan Gil Physical Therapist 1350 O St Ste 201, Fresno, CA 93721 2014-09-17
1831526250 Tiffany Marie Gonzalez Counselor 2409 Mered St #106, Fresno, CA 93721 2013-09-30
1972939783 Reshale L Thomas Psychologist 2900 Fresno St Ste 108, Fresno, CA 93721 2013-09-25
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043720741 Luis Rodriguez Gonzalez Physician Assistant 4730 Brazos Point Ln, Fresno, TX 77545-7968 2017-10-07
1407241300 Gwendolyn Champion Physician Assistant 4026 E Teal Estates Cir, Fresno, TX 77545 2015-03-30
1740326891 Michael J Sinopoli Physician Assistant 4910 E Clinton Way Ste 101, Fresno, CA 93727-1560 2007-01-29
1881212397 Veshudha Kang Physician Assistant 2615 E Clinton Ave, Fresno, CA 93703-2223 2020-07-10
1154941011 Kylie Wermund Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2020-04-21
1306402532 Justin Frances Gagnon Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2019-05-13
1821532292 Tran Luong Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2016-12-05
1487003414 Maribel Manriquez Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2016-06-09
1558739052 Kathryn L. Hanks Physician Assistant 2823 Fresno St, Fresno, CA 93721-1324 2015-09-14
1407242456 Zhijian Wang Physician Assistant 45 E River Park Pl W, Suite 104, Fresno, CA 93720-1562 2015-04-07
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Competitor

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City FRESNO
Zip Code 93721

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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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