DR. KATHERINE T. KELLY (NPI# 1407822372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407822372 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE T. KELLY |
| Credential | PH.D. |
| Practice Address |
1001 Reynolda Rd Stockton Cottage Winston-salem NC 27104-3245 |
| Mailing Address |
148 Carrisbrooke Ln Winston-salem NC 27104-2528 |
| Practice Telephone | 3367231011 |
| Practice Fax Number | 3367231411 |
| Mailing Telephone | 3364068431 |
| Mailing Fax Number | 3367321411 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2729 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801134275 | Katherine Mercedes Kelly | Advanced Practice Midwife | 226 Ashville Ave Ste 120, Cary, NC 27518-6660 | 2013-01-19 |
| 1851656300 | Katherine Hemming Renner Kelly | Surgery | 140 Colemans Xing Ste 100, Marysville, OH 43040-7080 | 2012-07-11 |
| 1245436997 | Katherine Anne Kelly | Dentist | 1020 E Michigan Ave, Saline, MI 48176-1525 | 2007-06-21 |
| 1215534433 | Katherine Kelly | Student in an Organized Health Care Education/Training Program | Potomac Behavioral Solutions, Suite 800, Arlington, VA 22202 | 2020-10-01 |
| 1548829195 | Katherine Marie Kelly | Physical Therapist | 19 Bradford St, Sonora, CA 95370-4701 | 2019-06-07 |
| 1336648278 | Katherine Kelly | Behavior Technician | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4201 | 2018-02-06 |
| 1770097206 | Katherine Michelle Kelly | Behavioral Analyst | 12 Monument Dr, Stafford, VA 22554-8508 | 2017-11-20 |
| 1427567338 | Katherine Ruth Kelly | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2017-09-22 |
| 1942725841 | Katherine Elizabeth Kelly | Counselor | 10735 S Cicero Ave, Oak Lawn, IL 60453-5400 | 2017-08-11 |
| 1316475288 | Katherine Grace Kelly | Behavior Technician | 1363 Douglas Dr Ste 104, Traverse City, MI 49696-8980 | 2017-05-23 |
| Street Address |
1001 REYNOLDA RD STOCKTON COTTAGE |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27104-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194946947 | William Weimar Sloan Jr. | Psychologist | 2905 Briarcliffe Road, Winston-salem, NC 27106 | 2007-05-01 |
| 1265547665 | Jennifer Mccain Thomas | Psychologist | Associates In Christian Counseling, 8025 North Point Boulevard, Suite 231, Winston-salem, NC 27106-3262 | 2006-08-19 |
| 1346284163 | Elinor Terry Call | Psychologist | 1340 Ashley Sq, Winston-salem, NC 27103-2949 | 2006-06-15 |
| 1285677971 | Wayne M Sotile | Psychologist | Sotile Psychological Associates, Pllc, 1396 Old Mill Circle, Winston-salem, NC 27103 | 2006-06-13 |
| 1992744726 | Thomas Edward Hendren | Psychologist | 942 W 4th St, Winston-salem, NC 27101-2582 | 2006-06-06 |
| 1427003045 | Malcolm R Rubinstein | Psychologist | 3000 Bethesda Place, Ste 701, Winston-salem, NC 27103-3329 | 2006-05-23 |
| 1073567145 | Cristin Carr Whiting | Psychologist | 632 Holly Ave, Winston-salem, NC 27101-2716 | 2006-05-21 |
| 1689627945 | Susan Elizabeth Willis | Psychologist | 1066 W 4th St, Winston-salem, NC 27101-2434 | 2006-05-18 |
| 1669425880 | Elizabeth Carroll | Psychologist | 3779 Vest Mill Road-suite B, Winston-salem, NC 27103 | 2006-05-18 |
| 1962454728 | William L. Michielutte | Psychologist | 3779 Vest Mill Rd, Suite C, Winston-salem, NC 27103-2991 | 2006-05-17 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27104 |
Please comment or provide details below to improve the information on DR. KATHERINE T. KELLY.
| 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.