DR. KELLY COLLINS (NPI# 1376050997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376050997 |
| Entity Type | Individual |
| Full Name | DR. KELLY COLLINS |
| Credential | DVM |
| Practice Address |
3923 S 10th Ave Caldwell ID 83605-6762 |
| Practice Telephone | 2084557757 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | V-4854 | ID | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386193779 | Kelly Collins | Counselor | 4221 S Mlk Blvd, Lansing, MI 48910-5201 | 2016-09-26 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1003171711 | Kelly Michelle Collins | Counselor | 15803 Ne 23rd St # B, Choctaw, OK 73020-8428 | 2012-07-09 |
| 1093027690 | Kelly Collins | Occupational Therapist | 1378 Highland Village Dr, Apt 24, Duluth, MN 55811-5274 | 2010-07-12 |
| 1073682647 | Kelly S Collins | Social Worker | 130 E 101st St, New York, NY 10029-6106 | 2006-11-07 |
| 1972555258 | Kelly Denene Gonzales Collins | Family Medicine | 2211 Capehart Rd, Suite 104, Bellevue, NE 68123-2121 | 2006-05-16 |
| 1801361019 | Kelly Anne Collins | Nurse Practitioner | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2018-10-04 |
| 1811477367 | Kelly Lynn Collins | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2018-08-15 |
| 1568958999 | Kelly Christine Collins | Occupational Therapy Assistant | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2018-07-09 |
| 1679067557 | Kelly Collins | Behavior Technician | 206 S Washington St Apt 1, Baltimore, MD 21231-2619 | 2018-06-14 |
| Street Address |
3923 S 10TH AVE |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-6762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528461894 | Aric Duspiva | Specialist | 16674 Frisco Ave, Caldwell, ID 83607-5223 | 2014-10-01 |
| 1295931665 | Doug Dammrose | Specialist | 1918 Everett St, Caldwell, ID 83605-5052 | 2007-06-22 |
| 1912090416 | Dennis L. Balmer | Specialist | 1304 Cleveland Blvd, Caldwell, ID 83605 | 2006-10-02 |
| 1043235377 | Michael Craig Mallea | Specialist | 4620 Enterprise Way Ste 101, Caldwell, ID 83605 | 2006-07-13 |
| 1790713204 | Derek B Hamblin | Specialist | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2006-06-30 |
| 1720520661 | Janessa Rose | Specialist | 44350 Fairground Rd, Caldwell, OH 43724-9677 | 2016-11-09 |
| 1477673549 | Cardio Vascular Associates of N.j., P.a. | Specialist | 112 Bloomfield Ave, Caldwell, NJ 07006-5336 | 2007-03-30 |
| 1063585305 | Idaho Sleep and Neurology Pllc | Specialist | 211 E Logan St, Suite 105, Caldwell, ID 83605-4882 | 2006-11-16 |
| 1184739351 | Orthopedic & Fracture Clinic Pa | Specialist | 206 E Elm St, Caldwell, ID 83605-4815 | 2006-08-20 |
| 1306804356 | Caldwell Urology, P.l.l.c. | Specialist | 1620 S Kimball Ave, Caldwell, ID 83605-4547 | 2006-05-01 |
| Find all providers in CALDWELL | ||||
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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.