CHRISTOPHER PATRICK KELLY (NPI# 1407137110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407137110 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER PATRICK KELLY |
| Credential | PAC |
| Practice Address |
202 Larry Joe Harless Dr. Gilbert WV 25621-1842 |
| Mailing Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Practice Telephone | 3046646270 |
| Practice Fax Number | 3046646272 |
| Mailing Telephone | 3048245806 |
| Mailing Fax Number | 3048245885 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2017-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2800 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 601 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 01578 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810025900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588023857 | Christopher Kelly | Counselor | 630 Park St Apt B, Charlottesville, VA 22902-4642 | 2016-02-16 |
| 1538589486 | Christopher Kelly | Occupational Therapy Assistant | 10 Trap Rock Cir, New City, NY 10956-6919 | 2014-04-18 |
| 1093136558 | Christopher Kelly | Pharmacist | 4275 Summers Place Dr, Olive Branch, MS 38654-7284 | 2013-12-30 |
| 1548695380 | Christopher Kelly | Acupuncturist | 9 Chandler Rd, Andover, MA 01810-2814 | 2013-09-12 |
| 1588923247 | Christopher Kelly | Specialist | 475 Atkinson, 1405, Honolulu, HI 96814 | 2012-05-15 |
| 1720122583 | Christopher P Kelly | Surgery | 11464 S Parkway Plaza Dr Ste 300, South Jordan, UT 84095-6053 | 2007-02-16 |
| 1356314991 | Christopher L Kelly | Specialist | 1830 14th Ave S, Birmingham, AL 35205-4969 | 2006-02-13 |
| 1073511788 | Christopher B. Kelly | Specialist | 3330 Preston Ridge Rd Ste 240, Alpharetta, GA 30005-4540 | 2005-07-07 |
| 1396741344 | Christopher Kelly | Ophthalmology | 366 Colt Hwy, Farmington, CT 06032-2547 | 2005-06-23 |
| 1649870536 | Christopher Francis Kelly | Physical Therapist | 4007 Merrick Rd, Seaford, NY 11783-2831 | 2020-10-29 |
| Street Address |
202 LARRY JOE HARLESS DR. |
| City | GILBERT |
| State | WV |
| Zip Code | 25621-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174829345 | Strong Through Our Plan | Community/Behavioral Health | 202 Larry Joe Harless Dr., Gilbert, WV 25621-1385 | 2011-02-04 |
| 1861776890 | Sharon G Dingess | Nurse Practitioner | 202 Larry Joe Harless Dr., Gilbert, WV 25621-1842 | 2011-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730669524 | Williamson Health & Wellness Center Inc | Clinic/Center | 2475 Rte 52, Gilbert, WV 25621 | 2018-08-21 |
| 1265734347 | Larry Edward Cole | Dentist | Rt 52 Main Street, Gilbert, Gilbert, WV 25621 | 2010-11-23 |
| 1396053484 | Mary Jane Phipps | Nurse Practitioner | 202 Larry Joe Harless Dr, Gilbert, WV 25621 | 2010-09-22 |
| 1720206774 | Riverside Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 22 Larry Joe Harless, Gilbert, WV 25621 | 2007-04-23 |
| 1871719054 | Cameron Keith Hatfield | Pharmacist | 22 Larry Harless Drive, Gilbert, WV 25621 | 2007-04-17 |
| 1104042381 | Gary Lane Cunningham | Pharmacist | 22 Larry Joe Harless Dr., Gilbert, WV 25621 | 2007-04-17 |
| 1417022617 | Appalachian Rehab Centers, Inc. | Clinic/Center | 202 Larry Joe Harless Drive, Pob 1987, Gilbert, WV 25621 | 2006-11-22 |
| 1376572479 | Family Healthcare Associates Inc | Family Medicine | 6th Avenue & Vinus Street, Family Healthcare Associates Inc, Gilbert, WV 25621 | 2006-07-01 |
| 1225597628 | David Allen Hopkins II | Pharmacist | 292 Main Street, Gilbert, WV 25621 | 2019-03-15 |
| 1467925487 | Lincoln County Primary Care Center Inc | Pharmacy | 202 Larry Joe Harless Dr, Gilbert, WV 25621 | 2019-01-03 |
| Find all providers in zip 25621 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427687953 | Zachary Scott | Physician Assistant | 562 E Campbell Ave, Gilbert, AZ 85234-4612 | 2020-04-06 |
| 1912539511 | Amber Lee Price | Physician Assistant | 428 S Gilbert Rd Ste 114, Gilbert, AZ 85296-2262 | 2020-02-11 |
| 1912549379 | Brooke Elizabeth Lopez | Physician Assistant | 1489 S Higley Rd Ste 101, Gilbert, AZ 85296-4777 | 2019-10-16 |
| 1477118180 | Mai Thai | Physician Assistant | 1725 S Coronado Rd Apt 1035, Gilbert, AZ 85295-0080 | 2019-05-08 |
| 1356800924 | Kirstin Lampi Tymkew | Physician Assistant | 4255 E Pecos Rd Apt 3011, Gilbert, AZ 85295-7842 | 2019-03-13 |
| 1033685763 | Jocelyn Lucita Ore | Physician Assistant | 3011 S Lindsay Rd Ste 105, Gilbert, AZ 85295-4333 | 2018-10-20 |
| 1003381633 | Samuel Dean Fox | Physician Assistant | 4915 E Baseline Rd Ste 102, Gilbert, AZ 85234-2966 | 2018-10-10 |
| 1598240731 | Sylvia Phommalinh | Physician Assistant | 1309 S Minneola Ln, Gilbert, AZ 85296-7824 | 2018-10-03 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1144703257 | Annie Celeste Hart | Physician Assistant | 610 W Sereno Dr, Gilbert, AZ 85233-7251 | 2018-09-13 |
| Find all providers in GILBERT | ||||
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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.