KAY D. KELLY (NPI# 1417198300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417198300 |
| Entity Type | Individual |
| Full Name | KAY D. KELLY |
| Credential | R.N., L.AC. |
| Practice Address |
12220 45th Ave N Plymouth MN 55442-2443 |
| Practice Telephone | 7632139989 |
| Mailing Telephone | 7632139989 |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 1015 | MN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267597 | Kay Kelly | Psychologist | 301 Ne Tudor Rd, Lees Summit, MO 64086-5702 | 2020-08-28 |
| 1215321823 | Kay Kelly | Registered Nurse | 125 Maple Hollow Rd, Duncansville, PA 16635-7920 | 2015-03-20 |
| 1275609752 | Kay Frances Kelly | Physical Therapist | 4920 Loring Dr, West Palm Beach, FL 33417-8052 | 2006-11-28 |
| 1750499869 | Kay Ann Kelly | Social Worker | 2955 Sw Wanamaker Dr, Topeka, KS 66614-5318 | 2006-08-28 |
| 1881707453 | Kay Bowie Kelly | Nurse Practitioner | 1929 Mason Dixon Highway, Core, WV 26541 | 2006-08-16 |
| Street Address |
12220 45TH AVE N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55442-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992036883 | Kay Kelly Traditional Chinese Medicine, Inc. | Clinic/Center | 12220 45th Ave N, Plymouth, MN 55442-2443 | 2010-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831581172 | Susan Anderson | Pharmacist | 4005 Vinewood Lane N, Walgreens 02767, Plymouth, MN 55442 | 2015-02-24 |
| 1104121151 | Melody Joy Richards | Counselor | 13210 45th Ave North, Plymouth, MN 55442 | 2011-01-24 |
| 1912207556 | Pro Medical Services, Inc. | Home Health | 4190 Vinewood Lane N, Ste #111, Plymouth, MN 55442 | 2010-10-29 |
| 1245564269 | Angela Mae | Massage Therapist | 4455 North Highway 169 Suite 200, Four Seasons Family Chiropractic Clinic, Plymouth, MN 55442 | 2009-09-23 |
| 1518174218 | Four Seasons Family Chiropractic Clinic | Chiropractor | 4455 Hwy 169 N, Ste 200, Plymouth, MN 55442 | 2007-05-16 |
| 1003037235 | Owen W Johnson | Pharmacist | 4445 N. Nathan Lane, Plymouth, MN 55442 | 2007-05-02 |
| 1750502621 | Michelle Anne Schulz | Pharmacist | 4445 Nathan Lane N, Plymouth, MN 55442 | 2007-05-01 |
| 1336149095 | Michael Bradley Shinder | Chiropractor | 4455 N Hwy 169, Suite 200, Plymouth, MN 55442 | 2005-07-26 |
| 1639549025 | Bendu Seth | Massage Therapist | 7710 Brooklyn Blvd, Suite 201e, Brooklyn Park, MN 55442 | 2015-09-29 |
| 1902286222 | Bao Yang | Massage Therapist | 7710 Brooklyn Blvd, Brooklyn Park, MN 55442 | 2015-06-02 |
| Find all providers in zip 55442 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1902280787 | Melani Gerenia | Acupuncturist | 34 Federal Furnace Rd, Plymouth, MA 02360-4660 | 2015-07-12 |
| 1710225727 | Ashley Robillard | Acupuncturist | 1000 Berkshire Ln N, Plymouth, MN 55441-4438 | 2013-01-25 |
| 1730408584 | Connie Mckenna | Acupuncturist | 9339 Main St., Plymouth, CA 95669 | 2010-05-19 |
| 1033305461 | Andal Hatem | Acupuncturist | Atlantic Women's Health, 118 Long Pond Road Suite 200, Plymouth, MA 02360 | 2007-09-19 |
| 1033230263 | Teresa A Lally | Acupuncturist | 22r Samoset St, Plymouth, MA 02360-4544 | 2007-04-03 |
| 1558485284 | Cindy Gx Chen | Acupuncturist | 15155 40th Ave N, Plymouth, MN 55446-3236 | 2007-03-19 |
| 1720145675 | Julie Twomoon | Acupuncturist | 44670 Ann Arbor Rd W Ste 110, Plymouth, MI 48170-4084 | 2007-01-02 |
| 1205912375 | Sarah Jane Atkinson | Acupuncturist | 55 Stafford St, Plymouth, WI 53073-1811 | 2006-10-31 |
| 1124645023 | Waterfront Acupuncture & Wellness, LLC | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360-4080 | 2020-06-26 |
| Find all providers in PLYMOUTH | ||||
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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.