DR. KELLY KING (NPI# 1558469106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558469106 |
| Entity Type | Individual |
| Full Name | DR. KELLY KING |
| Credential | M.D. |
| Practice Address |
751 Horizon Ct Suite 202 Grand Junction CO 81506-8733 |
| Practice Telephone | 9702424145 |
| Practice Fax Number | 9702424134 |
| Mailing Telephone | 9702424145 |
| Mailing Fax Number | 9702424134 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 37446 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | FEDERAL TAX ID | 020625894 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992362305 | Kelly Knepper King | Physician Assistant | 1490 Williamsboro St, Oxford, NC 27565-3498 | 2019-05-21 |
| 1023302718 | Kelly King | Physical Therapy Assistant | 2116 Sweet Gum Dr, Jonesboro, AR 72401-3603 | 2011-05-31 |
| 1801122403 | Kelly B King | Physical Therapist | 406 Cook Ct, Hopkinsville, KY 42240-8714 | 2009-11-02 |
| 1235327883 | Kelly Marie King | Physician Assistant | 13013 Sw Caddy Pl, Tigard, OR 97223-2892 | 2007-10-09 |
| 1699709204 | Kelly L King | Physical Therapist | 309 Highway 641 N, Camden, TN 38320-3011 | 2006-07-10 |
| 1114998606 | Kelly Ennix King | Internal Medicine | 6901 Simmons Loop, 4th Floor, Riverview, FL 33578-9498 | 2006-02-01 |
| 1659355410 | Kelly Ann King | Internal Medicine | 1835 Oddie Blvd, Sparks, NV 89431-3559 | 2005-12-05 |
| 1063049062 | Kelly King | Student in an Organized Health Care Education/Training Program | 272 Congress St, Portland, ME 04101-3637 | 2020-03-27 |
| 1811527823 | Kelly King | Behavioral Analyst | 1000 Plantation Rd Ste D, Thibodaux, LA 70301-4264 | 2020-01-17 |
| 1154981496 | Kelly King | Nurse Practitioner | 35 Memorial Dr, Pinehurst, NC 28374-8708 | 2019-06-18 |
| Street Address |
751 HORIZON CT SUITE 202 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81506-8733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
| 1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
| 1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
| 1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
| Find all providers in zip 81506 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598225922 | Joseph Bush | Internal Medicine | 619 View Point Dr, Grand Junction, CO 81506-8222 | 2019-03-21 |
| 1831367804 | Thomas G Mccleary Do PC | Internal Medicine | 2754 Compass Dr Ste 300, Grand Junction, CO 81506-8742 | 2008-02-13 |
| 1629260237 | Aspen Leaf Internal Medicine, P.C. | Internal Medicine | 751 Horizon Ct Ste 202, Grand Junction, CO 81506-8718 | 2007-08-16 |
| 1194844688 | Desert Sun Medical Center, P.C. | Internal Medicine | 1212 Bookcliff Ave Ste 3, Grand Junction, CO 81501-8161 | 2007-03-28 |
| 1780748467 | Kory D Huebert | Internal Medicine | 2470 F Rd, Unit 10, Grand Junction, CO 81505-1279 | 2006-12-20 |
| 1831284462 | Western Colorado Lung Center, Professional L.l.p. | Internal Medicine | 1050 Wellington Avenue, Grand Junction, CO 81501 | 2006-10-03 |
| 1366458648 | Western Medical Associates | Internal Medicine | 743 Horizon Ct Ste 100, Grand Junction, CO 81506-8715 | 2006-07-31 |
| 1154370922 | Rebecca Tolby Md PC | Internal Medicine | 715 Horizon Dr, Suite 200, Grand Junction, CO 81506-8700 | 2006-05-09 |
| 1932158763 | Rebecca Sue Tolby | Internal Medicine | 715 Horizon Dr Ste 200, Grand Junction, CO 81506-8726 | 2006-05-09 |
| 1891751988 | Frederic Barber Walker Iv | Internal Medicine | 659 Larkspur Ln, Grand Junction, CO 81506-8319 | 2006-04-26 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
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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.