LAURA B KELLY (NPI# 1487113148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487113148 |
| Entity Type | Individual |
| Full Name | LAURA B KELLY |
| Credential | NP-C |
| Practice Address |
2300 Linda Dr Conway AR 72032-8999 |
| Mailing Address |
350 Salem Rd Ste 4 Conway AR 72034-6166 |
| Practice Telephone | 5017335985 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A006148 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516012 | Laura Alexandra Kelly | Clinic/Center | 599 Knollwood Rd, White Plains, NY 10603-1918 | 2020-10-21 |
| 1275032385 | Laura Kelly | Nutritionist | 3131 Gosheff Ln, Gambrills, MD 21054-1936 | 2018-02-04 |
| 1912452988 | Laura Kelly | Counselor | 6258 N Artesian Ave, Apt 1, Chicago, IL 60659-2845 | 2016-08-19 |
| 1154770758 | Laura Kelly | Occupational Therapist | 355 N Wilmot Rd, Tucson, AZ 85711-2601 | 2016-06-06 |
| 1235518630 | Laura Kelly | Speech-Language Pathologist | 3329 Saint Georges Way, Loveland, OH 45140-1551 | 2015-05-19 |
| 1225313141 | Laura Kelly | Occupational Therapy Assistant | 94 Peddler Hill Rd, Monroe, NY 10950-2022 | 2011-10-12 |
| 1518287515 | Laura Elizabeth Kelly | Acupuncturist | 19616 Walnut Trl, Topanga, CA 90290-3120 | 2010-06-02 |
| 1548597263 | Laura E Kelly | Physical Therapist | 60 Lumber St, Hopkinton, MA 01748-2304 | 2009-11-17 |
| 1174723258 | Laura J Kelly | Speech-Language Pathologist | 39 Lake Shore Rd, Salem, NH 03079-1975 | 2007-07-18 |
| 1073128401 | Laura Kelly | Occupational Therapist | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-09-11 |
| Street Address |
2300 LINDA DR |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-8999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
| 1316566607 | Shannon Busby | Nurse Practitioner | 1505 Winterbrook Dr, Conway, AR 72034-3564 | 2020-04-16 |
| 1538798087 | Glenda Darlene Gore | Nurse Practitioner | 17 Kali Ct, Conway, AR 72032-9477 | 2020-04-06 |
| 1265071427 | Dana Aysha Niederhauser | Nurse Practitioner | 1250 Littlewood Cv, Conway, AR 72032-8986 | 2020-01-04 |
| 1285287680 | Joy Griffith | Nurse Practitioner | 2907 Percy Cir, Conway, AR 72034-5508 | 2019-07-24 |
| 1366094260 | Kerry Kathryn Lewis | Nurse Practitioner | 1910 Royal Dr, Conway, AR 72034-7346 | 2019-07-10 |
| 1780141069 | Ashleigh Lynn Kinon | Nurse Practitioner | 2065 Woodlawn Dr, Conway, SC 29526-7703 | 2019-02-22 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1225568272 | Dustin Luke Van Pelt | Nurse Practitioner | 150 E Siebenmorgen Rd, Conway, AR 72032-4000 | 2017-06-13 |
| Find all providers in CONWAY | ||||
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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.