DODIE LYNN KIRKENDOLL (NPI# 1518214253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518214253 |
Entity Type | Organization |
Organization Name | DODIE LYNN KIRKENDOLL |
Other Organization Name | ADVANCED FAMILY MEDICINE |
Practice Address |
2315 Mayfair Dr Suite 9 Owensboro KY 42301-4557 |
Practice Telephone | 2703161063 |
Mailing Telephone | 2703161063 |
Enumeration Date | 2012-08-13 |
Last Update Date | 2014-01-29 |
Authorized Official Name | DODIE L KIRKENDOLL (OWNER) |
Authorized Official Telephone | 2703161063 |
Authorized Official Credential | ARNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3005707 | KY | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Advanced Family Medicine | Doing Business As Name - Organization |
Street Address |
2315 MAYFAIR DR SUITE 9 |
City | OWENSBORO |
State | KY |
Zip Code | 42301-4557 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275543423 | Reisz Pharmaceuticals Vital Care, Inc. | Pharmacy | 2315 Mayfair Dr, Mayfair Square Professional Building, Owensboro, KY 42301-4557 | 2006-08-09 |
1518374024 | Mandy Crawford Family Practice Plc | Nurse Practitioner | 2315 Mayfair Dr, Suite 16, Owensboro, KY 42301-4557 | 2014-07-16 |
1205175221 | Amanda Rae Crawford | Nurse Practitioner | 2315 Mayfair Dr, Suite 16, Owensboro, KY 42301-4557 | 2013-02-12 |
1790002079 | Jennifer A Martin Md Pllc | Surgery | 2315 Mayfair Dr, Suite 9, Owensboro, KY 42301-4557 | 2010-04-27 |
1386874311 | Owensboro-daviess County Regional Dental Clinic Inc | Dentist | 2315 Mayfair Dr, Suite 32, Owensboro, KY 42301-4557 | 2009-07-24 |
1881846509 | Dodie Kirkendoll | Nurse Practitioner | 2315 Mayfair Dr, Suite 9, Owensboro, KY 42301-4557 | 2008-10-13 |
1710179155 | Randy J Cox,mdpsc | Psychiatry & Neurology | 2315 Mayfair Dr, Owensboro, KY 42301-4557 | 2007-08-09 |
1508988429 | Lori Arnold Boyd | Dentist | 2315 Mayfair Dr, Suite 22-24, Owensboro, KY 42301-4557 | 2007-04-03 |
1205960036 | William P. Strueh | Dentist | 2315 Mayfair Dr, Suite 19, Owensboro, KY 42301-4557 | 2007-03-15 |
1669567582 | Brandon W Taylor | Dentist | 2315 Mayfair Dr, Suite 32, Owensboro, KY 42301-4557 | 2006-10-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
Find all providers in zip 42301 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023640489 | Kimberly Michelle Gilstrap | Nurse Practitioner | 3500 Frederica St, Owensboro, KY 42301-6901 | 2020-02-04 |
1851857858 | Andrea Marie Scott | Nurse Practitioner | 2811 New Hartford Rd, Owensboro, KY 42303-1384 | 2019-02-14 |
1033673355 | Cynthia M Waltz | Nurse Practitioner | 1201 Pleasant Valley Rd Fl 9, Owensboro, KY 42303-9811 | 2019-01-31 |
1407321847 | Darla M Alvey | Nurse Practitioner | 2200 E Parrish Ave Ste 201b, Owensboro, KY 42303-1451 | 2018-10-12 |
1992281323 | Sara Lynn Doolin-thompson | Nurse Practitioner | 2200 E Parrish Ave Ste 101, Owensboro, KY 42303-1449 | 2018-07-18 |
1366972283 | Diane Michelle Goetz | Nurse Practitioner | 3000 Alvey Park Dr W Ste D, Owensboro, KY 42303-4099 | 2017-06-13 |
1811447717 | John Sublett | Nurse Practitioner | 4359 Scotland Dr, Owensboro, KY 42303-2726 | 2016-10-04 |
1376996439 | Lauren K Shelton | Nurse Practitioner | 1301 Pleasant Valley Rd # 300, Owensboro, KY 42303-9774 | 2016-07-13 |
1770904559 | Primary Care Solutions, LLC | Nurse Practitioner | 2001 Frederica St., Owensboro, KY 42304 | 2013-12-23 |
1265773089 | Jennifer Beth Neely | Nurse Practitioner | 2915 New Hartford Rd, Owensboro, KY 42303-1323 | 2013-03-04 |
Find all providers in OWENSBORO |
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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.