MR. CHRISTOPHER W. KELLY (NPI# 1558605337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558605337 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER W. KELLY |
| Credential | FNP-C APRN, MSN, MSM |
| Practice Address |
300 Twining St Montgomery AL 36112-6027 |
| Practice Telephone | 3349535143 |
| Practice Fax Number | 3349538607 |
| Mailing Telephone | 3349535143 |
| Mailing Fax Number | 3349538607 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2014-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-111007 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | R861157 | MS | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588023857 | Christopher Kelly | Counselor | 630 Park St Apt B, Charlottesville, VA 22902-4642 | 2016-02-16 |
| 1538589486 | Christopher Kelly | Occupational Therapy Assistant | 10 Trap Rock Cir, New City, NY 10956-6919 | 2014-04-18 |
| 1093136558 | Christopher Kelly | Pharmacist | 4275 Summers Place Dr, Olive Branch, MS 38654-7284 | 2013-12-30 |
| 1548695380 | Christopher Kelly | Acupuncturist | 9 Chandler Rd, Andover, MA 01810-2814 | 2013-09-12 |
| 1588923247 | Christopher Kelly | Specialist | 475 Atkinson, 1405, Honolulu, HI 96814 | 2012-05-15 |
| 1720122583 | Christopher P Kelly | Surgery | 11464 S Parkway Plaza Dr Ste 300, South Jordan, UT 84095-6053 | 2007-02-16 |
| 1356314991 | Christopher L Kelly | Specialist | 1830 14th Ave S, Birmingham, AL 35205-4969 | 2006-02-13 |
| 1073511788 | Christopher B. Kelly | Specialist | 3330 Preston Ridge Rd Ste 240, Alpharetta, GA 30005-4540 | 2005-07-07 |
| 1396741344 | Christopher Kelly | Ophthalmology | 366 Colt Hwy, Farmington, CT 06032-2547 | 2005-06-23 |
| 1649870536 | Christopher Francis Kelly | Physical Therapist | 4007 Merrick Rd, Seaford, NY 11783-2831 | 2020-10-29 |
| Street Address |
300 TWINING ST |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36112-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186843 | John Caleb Walker | Nurse Practitioner | 300 Twining St, Montgomery, AL 36112-6027 | 2019-07-22 |
| 1245799618 | Collin Griffith | Military Health Care Provider | 300 Twining St, Montgomery, AL 36112-6027 | 2019-03-15 |
| 1891278354 | Debra Phillips | Clinical Nurse Specialist | 300 Twining St, Montgomery, AL 36112-6027 | 2018-09-11 |
| 1265841266 | Anthony Spina | Optometrist | 300 Twining St, Maxwell Afb, Montgomery, AL 36112-6027 | 2014-08-05 |
| 1912330275 | Lori Johnson Clark | Pharmacist | 300 Twining St, Montgomery, AL 36112-6027 | 2013-08-09 |
| 1043504525 | Ross Graham | Emergency Medicine | 300 Twining St, Montgomery, AL 36112-6027 | 2011-06-02 |
| 1437304227 | Zaneta Allen | Pharmacist | 300 Twining St, Montgomery, AL 36112-6027 | 2008-11-21 |
| 1285896779 | Richard Charles Kipp | Preventive Medicine | 300 Twining St, Montgomery, AL 36112-6027 | 2008-06-26 |
| 1831396498 | Barbara D. Hartvigsen | Physician Assistant | 300 Twining St, Montgomery, AL 36112-6027 | 2007-06-28 |
| 1679798078 | Natalie Rose Rashid | Physical Therapist | 300 Twining St, Montgomery, AL 36112-6027 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836970 | Alison Bees Thompson | Social Worker | 42nd Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2019-11-25 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1477015196 | Jennifer Marie Hudson | Counselor | Jennifer Hudson, 300 South Twining St Bldg 760, Maxwell Afb, AL 36112 | 2019-04-02 |
| 1255801049 | Jose Edwin Aviles | Military Health Care Provider | Kelly Street, Montgomery, AL 36112 | 2018-12-05 |
| 1306316963 | Lydia Price Beringer | Speech-Language Pathologist | 300 S. Twining Street 42 Nd Medical Group, Maxwell Afb, AL 36112 | 2018-11-27 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1417353590 | Jamie Ellis | Social Worker | 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2014-11-17 |
| 1629419650 | Elias N Hydrick | Family Medicine | 300 S. Twining St., Bldg 760, Maxwell Afb, 42nd Medical Group, Montgomery, AL 36112 | 2013-07-06 |
| 1639454200 | Sharon Lewis | Pharmacist | 300 Southtwining St, Montgomery, AL 36112 | 2011-10-14 |
| 1104158518 | Sylvia Ann Newell | Dietitian, Registered | 50 W Ash St Bldg 841, Montgomery, AL 36112 | 2010-02-10 |
| Find all providers in zip 36112 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240285 | Miranda Michelle Roach | Nurse Practitioner | 11907 Candlewood Pl, Montgomery, TX 77356-5427 | 2020-06-24 |
| 1508416611 | Casey Thornton | Nurse Practitioner | 370 Saint Lukes Dr, Montgomery, AL 36117-7111 | 2019-09-19 |
| 1558917047 | Brittany Ann Smith | Nurse Practitioner | 1722 Pine St Ste 904, Montgomery, AL 36106-1104 | 2019-08-12 |
| 1952956567 | Cassandra Aileen Kelley | Nurse Practitioner | 1722 Pine St Ste 401, Montgomery, AL 36106-1103 | 2019-08-09 |
| 1982264867 | Bethany Fain Phelps | Nurse Practitioner | 1722 Pine St Ste 402, Montgomery, AL 36106-1159 | 2019-06-13 |
| 1447813027 | Haley Harvey Clifton | Nurse Practitioner | 1758 Park Pl Ste 401, Montgomery, AL 36106-1135 | 2019-04-18 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1780162024 | Grace Santana | Nurse Practitioner | 3270 Gatsby Ln, Montgomery, AL 36106-2668 | 2018-07-30 |
| 1013494673 | Angela K Rayborn | Nurse Practitioner | 1725 W 4th St # Na, Montgomery, AL 36106-1509 | 2018-07-25 |
| 1942795430 | Richard Yullambo Yenkong | Nurse Practitioner | 2270 Jericho Rd Apt A5, Montgomery, IL 60538-5621 | 2018-06-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36112 |
Please comment or provide details below to improve the information on MR. CHRISTOPHER W. KELLY.
| 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.