KELLY CARBONE (NPI# 1417287244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417287244 |
| Entity Type | Individual |
| Full Name | KELLY CARBONE |
| Credential | LD |
| Practice Address |
980 Forest Ave Ste 104 Portland ME 04103-3357 |
| Practice Telephone | 2077747645 |
| Practice Fax Number | 2078285298 |
| Mailing Telephone | 2077747645 |
| Mailing Fax Number | 2078285298 |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2013-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | 5024 | ME | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407399967 | Kelly Carbone | Speech-Language Pathologist | 2430 Skillman Ave, Long Island City, NY 11101-4524 | 2016-11-30 |
| 1093008641 | Kelly Carbone | Nurse Practitioner | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2011-05-16 |
| Street Address |
980 FOREST AVE STE 104 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841642287 | Veronika Buliga | Denturist | 6842 Se 66th Ave, Portland, OR 97206-7449 | 2016-07-11 |
| 1528435237 | Lidiya Bogdan | Denturist | 4637 Se 128th Ave, Portland, OR 97236-3713 | 2015-08-28 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1043595903 | Edward Espinoza Jr. | Denturist | 206 Ne 80th Ave, Portland, OR 97213-7016 | 2011-10-11 |
| 1629308648 | Theodore Keith Dhein | Denturist | 8064 S.e. Harold St., Portland, OR 97206-5148 | 2010-01-14 |
| 1427298579 | Donald Marvin Lorenzen | Denturist | 8530 N. Ivanhoe, Portland, OR 97203 | 2009-03-03 |
| 1952551848 | Edward Jerrold Cooper Sr. | Denturist | 4645 South East 85th Ave., Portland, OR 97266 | 2008-09-26 |
| 1669688636 | William Ollenbrook | Denturist | 3131 Se 122nd Ave, Portland, OR 97236-3209 | 2007-05-15 |
| 1558577007 | Eui Young Suk | Denturist | 9234 Ne Glisan St, Portland, OR 97220-4532 | 2007-05-14 |
| 1568529998 | James Clifton Garbarino | Denturist | 1933 Sw Jefferson, Willamette Dental Gr, Portland, OR 97224 | 2007-01-03 |
| Find all providers in PORTLAND | ||||
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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.