DR. KEVIN MATTHEW MCKELVEY (NPI# 1417217118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417217118 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MATTHEW MCKELVEY |
| Credential | DO |
| Practice Address |
77 Nealy Ave Hampton VA 23665-2040 |
| Practice Telephone | 7577646800 |
| Mailing Telephone | 7577646800 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0102204526 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 5101019966 | MI | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Oakland Dr, Kalamazoo, MI 490081282 | 2693374400 | |
| 500 J Clyde Morris Blvd Ste A, Newport News, VA 236011929 | 7575942083 | 7575942196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083726616 | Kevin M. Mckelvey | Dentist | 1302 S Division St, Salisbury, MD 21804-6921 | 2006-08-31 |
| 1154319218 | Kevin P Mckelvey | Nurse Anesthetist, Certified Registered | 3429 Essex Way, Garnet Valley, PA 19061-2260 | 2005-10-12 |
| Street Address |
77 NEALY AVE |
| City | HAMPTON |
| State | VA |
| Zip Code | 23665-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091966 | Arthur J Greenwood | Obstetrics & Gynecology | 77 Nealy Ave, Hampton, VA 23665-2040 | 2005-08-24 |
| 1659979961 | Melissa Danielle Hanley | Nurse Practitioner | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-10-09 |
| 1821609488 | Julianne Legierse | Nurse Practitioner | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-08-16 |
| 1386252872 | Joseph John Mieding | Military Health Care Provider | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-07-21 |
| 1487270195 | Juan Rafael Rodriguez | Military Health Care Provider | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-06-18 |
| 1710510722 | Robert Dillon Huhn | Nurse Practitioner | 77 Nealy Ave, Emergency Department, Hampton, VA 23665-2040 | 2020-02-18 |
| 1497387401 | Duc Ha | Military Health Care Provider | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-02-07 |
| 1962034967 | Maria Theresa Leusink | Pharmacist | 77 Nealy Ave, Hampton, VA 23665-2040 | 2020-02-07 |
| 1316585755 | Victoria Marie Larwin | Family Medicine | 77 Nealy Ave, Hampton, VA 23665-2040 | 2019-12-17 |
| 1144781576 | Kyle David Long | Physician Assistant | 77 Nealy Ave, Hampton, VA 23665-2040 | 2019-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508920703 | Ronald John Rejzer | Emergency Medicine | 528 Elizabeth Lake Dr, Hampton, VA 23669-1724 | 2006-12-21 |
| 1376574988 | Jeffrey D Johnson | Emergency Medicine | Peninsula Emergency Physicians, 3000 Coliseum Drive, Hampton, VA 23666 | 2006-07-05 |
| 1215973383 | Andrew Bruce Cole | Emergency Medicine | 11828 Canon Blvd, Ste E, Hampton, VA 23666 | 2006-06-20 |
| 1730139528 | Thomas Nicholas Bottoni | Emergency Medicine | Sentara Careplex, 3000 Coliseum Drive, Hampton, VA 23666 | 2006-05-11 |
| 1053379537 | Dwayne Eric Greene | Emergency Medicine | Sentara Careplex Hospital, 3000 Coliseum Drive, Hampton, VA 23666 | 2006-05-03 |
| 1558650127 | Son Phuong Pham | Emergency Medicine | 633d Medical Group, 77 Nealy Ave, Hampton, VA 23665-2040 | 2011-04-04 |
| 1356511992 | Clarence George Clarke | Emergency Medicine | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2008-03-11 |
| 1932394970 | Danielle Heather Chase | Emergency Medicine | 3000 Coliseum Dr, Ste 203, Hampton, VA 23666-5963 | 2007-09-12 |
| 1316160633 | Alicia S. Devine | Emergency Medicine | 3000 Coliseum Dr, Sentara Careplex Hospital, Hampton, VA 23666-5963 | 2007-04-11 |
| 1215037924 | Leigh Franklin Wheeler Jr. | Emergency Medicine | 380 Lafayette Rd, Hampton, NH 03842-2222 | 2006-09-23 |
| Find all providers in HAMPTON | ||||
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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.