DR. KELLY WILSON (NPI# 1407023591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407023591 |
| Entity Type | Individual |
| Full Name | DR. KELLY WILSON |
| Other Name | KELLY BALL |
| Practice Address |
13875 Highway 13 S Suite 275 Savage MN 55378-2136 |
| Practice Telephone | 6122373700 |
| Practice Fax Number | 9522267790 |
| Mailing Telephone | 6122373700 |
| Mailing Fax Number | 9522267790 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
LP4438 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720694086 | Kelly Wilson | Dietitian, Registered | 6865 Hitchingham Rd, Ypsilanti, MI 48197-8998 | 2020-09-21 |
| 1447736798 | Kelly Wilson | Assisted Living Facility | 8848 Gloralee St, Anchorage, AK 99502 | 2018-07-18 |
| 1992144372 | Kelly Wilson | Specialist/Technologist | 4241 Quail Hollow Cir, Cuyahoga Falls, OH 44224-5124 | 2013-06-19 |
| 1689903593 | Kelly Elizabeth Wilson | Occupational Therapist | 1522 Morris Ave, Norfolk, VA 23509-1217 | 2009-12-24 |
| 1841330768 | Kelly Brooks Wilson | Dentist | 2201 S Blvd, Suite 210, Charlotte, NC 28203-6208 | 2007-02-08 |
| 1275688137 | Kelly L Wilson | Social Worker | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2007-01-23 |
| 1538255344 | Kelly E Wilson | Specialist | 7400 Fannin Suite 930, Houston, TX 77054 | 2006-10-05 |
| 1942283551 | Kelly W Wilson | Obstetrics & Gynecology | 220 East Harris Avenue, San Angelo, TX 76903 | 2005-11-29 |
| 1023646858 | Kelly Comolli Wilson | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2020-03-28 |
| 1528619160 | Kelly Ann Wilson | Student in an Organized Health Care Education/Training Program | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-09-25 |
| Street Address |
13875 HIGHWAY 13 S SUITE 275 |
| City | SAVAGE |
| State | MN |
| Zip Code | 55378-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083271662 | Nlm Investment Group LLC | Home Health | 7460 South Park Drive, Savage, MN 55378 | 2019-05-20 |
| 1558835942 | Jennifer Iacobelli | Dental Therapist | 13899 Highway 13 South Frontage Road, Savage, MN 55378 | 2019-01-18 |
| 1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
| 1619456084 | Abdifatah Yusuf Warsame | Driver | 14023 Virginia Ave, Savage, MN 55378 | 2018-08-07 |
| 1023502580 | Cathleen J. Gempeler | Music Therapist | 4011 West Highway 13, This Address Is My Music Therapy Center, Savage, MN 55378 | 2018-06-19 |
| 1750870515 | Jamie C. Lang | Registered Nurse | 14362 Utica Ave., Savage, MN 55378 | 2018-05-08 |
| 1932643756 | Touching Lives Communities, LLC | Assisted Living Facility | 14280 Allen Drive, Savage, MN 55378 | 2016-12-13 |
| 1194267344 | Dentists of Savage, PC | Dentist | 14012 Hwy 13, Savage, MN 55378 | 2016-11-04 |
| 1518350719 | Corey Thompson | Counselor | 7675 Mn Hwy 13, Savage, MN 55378 | 2015-03-12 |
| 1679963235 | Melissa Jaeger | Dietitian, Registered | 6150 Egan Drive, Savage, MN 55378 | 2015-02-03 |
| Find all providers in zip 55378 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316587967 | Lauren Reed | Psychologist | 8640 Eagle Creek Cir, Savage, MN 55378-4400 | 2020-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306479316 | Brie Pileggi-valleen | Psychologist | 413 Brandywine Dr, Burnsville, MN 55337-4023 | 2020-02-18 |
| 1326483843 | Franco Peric | Psychologist | 230 W Superior St Ste 459, Duluth, MN 55802-1916 | 2013-05-10 |
| 1083961635 | National Initiatives for Healthy Youth | Psychologist | 7948 Quail Ave N, Brooklyn Park, MN 55443-2423 | 2012-08-13 |
| 1043481658 | Edmund Edward Nadolny | Psychologist | 1000 Willmar Ave Sw, Behavioral Forensic Services, Willmar, MN 56201-3067 | 2008-03-23 |
| 1093859332 | Associated Counseling Services, Pllc | Psychologist | 2625 Edgerton St, Little Canada, MN 55117-1620 | 2007-02-19 |
| 1124643408 | Adam Gierok | Psychologist | 1516 W Lake St Ste 110, Minneapolis, MN 55408-2554 | 2020-06-11 |
| 1598328155 | Superior Forensic Consulting | Psychologist | 230 W Superior St Ste 459, Duluth, MN 55802-1916 | 2019-04-19 |
| 1376071316 | Alexander G Kovic | Psychologist | 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 | 2017-06-02 |
| 1043660517 | Mary Kathryn Kenning | Psychologist | 5100 Eden Ave, Suite 320, Edina, MN 55436-2337 | 2016-06-15 |
| 1306099379 | Nicholas Druhn | Psychologist | 300 S 6th St, Suite C-509, Minneapolis, MN 55487-0351 | 2008-11-03 |
| Find all providers with the same taxonomy | ||||
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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.