KEVIN KELLEY (NPI# 1497142996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497142996 |
| Entity Type | Individual |
| Full Name | KEVIN KELLEY |
| Credential | R.N., CDOE |
| Practice Address |
400 Bald Hill Rd Suite 520 Warwick RI 02886-1617 |
| Mailing Address |
1 Commerce St Central Administration Lincoln RI 02865-1186 |
| Practice Telephone | 4017938520 |
| Practice Fax Number | 4017938527 |
| Mailing Telephone | 4017938392 |
| Mailing Fax Number | 4017938391 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN47992 | RI | Nursing Service Providers |
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN47992 | RI | Nursing Service Providers |
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN47992 | RI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487194908 | Kevin Kelley | Contractor | 1820 Wightman St # 1, Pittsburgh, PA 15217-1536 | 2017-03-02 |
| 1306249255 | Kevin Kelley | Veterinarian | 2813 Highway 378, Conway, SC 29527-5307 | 2014-10-07 |
| 1093847584 | Kevin J. Kelley | Psychologist | 530 Union Blvd, Allentown, PA 18109-3230 | 2007-03-10 |
| 1750391108 | Kevin Michael Kelley | Physician Assistant | 27a Centennial Dr, Peabody, MA 01960-7901 | 2006-08-08 |
| 1881654697 | Kevin F Kelley Sr. | Physician Assistant | 101 Strauss Ave, Cbirf, 2nd Mef, Indian Head, MD 20640-1542 | 2006-03-24 |
| 1871053447 | Kevin Kelley | Student in an Organized Health Care Education/Training Program | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2019-03-20 |
| 1700394558 | Kevin Kelley | Counselor | 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 | 2018-01-15 |
| 1922493287 | Kevin Kelley | Behavioral Analyst | 1040 Waltham St, Lexington, MA 02421-8033 | 2015-04-03 |
| 1447675129 | Kevin D Kelley | Physical Therapist | 1 Neumann Way, Bldg. 750, Cincinnati, OH 45215-1915 | 2014-03-04 |
| 1508203936 | Kevin A. Kelley | Physical Therapist | 850 43rd Ave Ste 300, Moline, IL 61265-8401 | 2013-05-24 |
| Street Address |
400 BALD HILL RD SUITE 520 |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711830 | David Robert Katzen | Allergy & Immunology | 400 Bald Hill Rd, Ste 527, Warwick, RI 02886-6100 | 2005-06-27 |
| 1497363105 | Miranda Icart | Psychologist | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2020-07-20 |
| 1821652215 | Leah Dillon | Physical Therapy Assistant | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2019-05-01 |
| 1457827727 | Iblin Penagos-chinchilla | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2018-10-15 |
| 1164905329 | Kathleen Bacon | Physical Therapist | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2018-09-12 |
| 1437631686 | Kyla Kennedy | Student in an Organized Health Care Education/Training Program | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2018-09-04 |
| 1275049280 | Elizabeth Clark Dwyer | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2017-12-28 |
| 1174051742 | Juliette Ariel Holtzman | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2017-05-26 |
| 1093242679 | Dionna Lang | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2017-05-15 |
| 1871025296 | Katelin Marie Whipple | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2017-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275817397 | Andrea Jane Lamont | Registered Nurse | 248 Wethersfield Dr, Warwick, RI 02886-7928 | 2011-10-07 |
| 1891920401 | Bobette S Chase | Registered Nurse | 66 Diamond Hill Rd, Warwick, RI 02886-6706 | 2009-05-27 |
| 1275784126 | Irene C. Rush | Registered Nurse | 276 Adams St, Warwick, RI 02888-2742 | 2008-10-08 |
| 1104139997 | Karen Zarlenga | Registered Nurse | 2191 Post Rd, Warwick, RI 02886-1532 | 2010-07-21 |
| 1720399041 | James J Pimentel | Registered Nurse | 43 Jefferson Blvd, Suite 1, Warwick, RI 02888-1078 | 2010-07-01 |
| 1528290434 | Margaret Webb | Registered Nurse | 2191 Post Rd, Warwick, RI 02886-1532 | 2009-08-12 |
| 1508019449 | Kathleen Congdon | Registered Nurse | 2191 Post Rd, Warwick, RI 02886-1532 | 2008-10-23 |
| 1356400485 | Carol T Hills | Registered Nurse | 43 Jefferson Blvd, Warwick, RI 02888-1078 | 2006-12-06 |
| 1194895102 | Catherine Rachel Gervais | Registered Nurse | 400 Bald Hill Rd, Suite 530, Warwick, RI 02886-1617 | 2006-11-08 |
| 1073615027 | Ilyn Cervantes | Registered Nurse | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2006-09-01 |
| Find all providers in WARWICK | ||||
Please comment or provide details below to improve the information on KEVIN KELLEY.
| 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.