KEVIN T KELLY M D PA (NPI# 1538363742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538363742 |
| Entity Type | Organization |
| Organization Name | KEVIN T KELLY M D PA |
| Practice Address |
1397 Medical Park Blvd Suite 240 Wellington FL 33414 |
| Practice Telephone | 5617843788 |
| Mailing Telephone | 5617843788 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KEVIN THOMAS KELLY (CEO) |
| Authorized Official Telephone | 5616289969 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME0056260 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1397 MEDICAL PARK BLVD SUITE 240 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376525899 | Robert J Abiusi | Physician Assistant | 1397 Medical Park Blvd, Suite 260, Wellington, FL 33414-6156 | 2005-11-18 |
| 1720462393 | Sabrina Lewis | Nurse Practitioner | 1397 Medical Park Blvd, Suite 220, Wellington, FL 33414-3186 | 2015-07-14 |
| 1073810289 | Florida Woman Care, LLC | Obstetrics & Gynecology | 1397 Medical Park Blvd, Suite 360, Wellington, FL 33414-3188 | 2011-02-24 |
| 1891937884 | Peter Henry Schwartz | Internal Medicine | 1397 Medical Park Blvd, Ste 420, Wellington, FL 33414-3186 | 2009-04-06 |
| 1275798472 | Wellington Physician Alliances Inc | Surgery | 1397 Medical Park Blvd, Suite 180, Wellington, FL 33414-3186 | 2008-07-28 |
| 1225293681 | Pain and Rehabilitation Physicians of Palm Beach Inc | Pain Medicine | 1397 Medical Park Blvd, Suite 480, Wellington, FL 33414-3186 | 2008-07-25 |
| 1922275239 | Emilio B Torres Professional Association | Obstetrics & Gynecology | 1397 Medical Park Blvd, Suite 200, Wellington, FL 33414-3186 | 2008-05-15 |
| 1881886455 | Patricia Helen Somera | Nurse Practitioner | 1397 Medical Park Blvd, Suite 360, Wellington, FL 33414-3186 | 2007-08-16 |
| 1154451474 | Complete Healthcare for Women | Obstetrics & Gynecology | 1397 Medical Park Blvd, Suite 360, Wellington, FL 33414-3186 | 2007-03-06 |
| 1720165749 | Editha Angelita Pangan | Internal Medicine | 1397 Medical Park Blvd, Suite 300, Wellington, FL 33414-3186 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538406442 | Jennine Cabanellas, Md, LLC | Ophthalmology | 13421 Southshore Blvd, Suite 203, Wellington, FL 33414-7206 | 2013-01-11 |
| 1740495100 | Grene Vision Group LLC | Ophthalmology | 420 N Washington Ave, Wellington, KS 67152-4060 | 2007-05-11 |
| 1932169836 | John David Crowell | Ophthalmology | 10131 Forest Hill Blvd, Ste 101, Wellington, FL 33414-6109 | 2006-03-24 |
| 1972576924 | Paul M Feuer | Ophthalmology | 2575 S State Road 7, Wellington, FL 33414-9323 | 2006-02-09 |
| 1972586683 | Joseph Louis Castro | Ophthalmology | 860-1 South State Road 7, Wellington, FL 33414 | 2005-11-28 |
| 1750323747 | Kevin T Kelly | Ophthalmology | 1397 Medical Park Blvd, Suite 240, Wellington, FL 33414-3186 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888353 | Jonathan M Frantz, Md Pa | Ophthalmology | 18500 Veterans Blvd Unit 4, Port Charlotte, FL 33954-1035 | 2020-10-15 |
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1770191231 | Eyerad, Pllc | Ophthalmology | 6280 W Sample Road #202, Coral Springs, FL 33067-3173 | 2020-07-21 |
| 1609494566 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 3350 Harden Blvd, Lakeland, FL 33803-7939 | 2020-07-08 |
| 1811511207 | Tampa Bay Ophthalmic Plastics LLC | Ophthalmology | 2963 Gulf To Bay Blvd, Ste 267, Clearwater, FL 33759-4259 | 2020-06-02 |
| 1841819166 | St. Lucie Eye Associates, M.d. P.a. | Ophthalmology | 1715 S.e Tiffany Ave., Port St. Lucie, FL 34952-7511 | 2020-04-16 |
| 1477172708 | St. Lucie Eye Associates, M.d., P.a. | Ophthalmology | 1302 S.w. St. Lucie West Blvd., Port St. Lucie, FL 34986-2109 | 2020-04-16 |
| 1598393142 | Samuel Richard Bierstock | Ophthalmology | 417 Palm Trail, Delray Beach, FL 33483 | 2020-03-30 |
| 1144858721 | Citrus Eye Care, Pa | Ophthalmology | 10549 Deerberry Dr, Land O Lakes, FL 34638-6948 | 2020-03-30 |
| 1922632066 | St Cloud Eye Center Inc | Ophthalmology | 4589 Henry C Yates Lane, Saint Cloud, FL 34769-3476 | 2020-02-27 |
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| City | WELLINGTON |
| Zip Code | 33414 |
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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.