KELLY A FLYNN (NPI# 1558709964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558709964 |
| Entity Type | Individual |
| Full Name | KELLY A FLYNN |
| Credential | D.O. |
| Practice Address |
6401 Prairie St Suite 2600 Norton Shores MI 49444-7840 |
| Mailing Address |
Po Box 1848 Muskegon MI 49443-1848 |
| Practice Telephone | 2317277900 |
| Practice Fax Number | 2317277914 |
| Mailing Telephone | 2317274444 |
| Mailing Fax Number | 2317284789 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2016-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5106020666 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 5101020666 | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043438682 | Kelly Ann Flynn | Massage Therapist | 23 Florida St, Long Beach, NY 11561-1107 | 2007-04-20 |
| 1831197896 | Kelly Flynn | Obstetrics & Gynecology | 55 Dimock St, Roxbury, MA 02119-1029 | 2005-07-13 |
| 1104425990 | Kelly Ann Flynn | Nurse Practitioner | 447 Spruce St, Walterboro, SC 29488-2766 | 2020-10-22 |
| 1417585829 | Kelly Delany Flynn | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-03-31 |
| 1093352411 | Kelly Flynn | Nurse Practitioner | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2019-12-04 |
| 1083108450 | Kelly Danielle Flynn | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2018-06-19 |
| 1275958043 | Kelly Flynn | Specialist | 445 Evans St, Williamsville, NY 14221-5606 | 2014-03-03 |
| 1740625482 | Kelly Flynn | Nurse Practitioner | 1 E Ogden Ave, Westmont, IL 60559-1339 | 2013-05-08 |
| 1760744981 | Kelly Ann Flynn | Counselor | 191 Broadway, Amityville, NY 11701-2790 | 2012-06-13 |
| 1942532510 | Kelly Lynn Flynn | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-02-08 |
| Street Address |
6401 PRAIRIE ST SUITE 2600 |
| City | NORTON SHORES |
| State | MI |
| Zip Code | 49444-7840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700410446 | Ashley Goodsmith | Physician Assistant | 6401 Prairie St, Norton Shores, MI 49444-7840 | 2020-03-02 |
| 1962068544 | Liberty Anne Abraham | Nurse Practitioner | 6401 Prairie St, Norton Shores, MI 49444-7840 | 2019-05-19 |
| 1962977702 | Julie Ann Juntunen | Nurse Practitioner | 6401 Prairie St, Norton Shores, MI 49444-7840 | 2018-10-08 |
| 1437604212 | Hillary Ann Bickel | Physician Assistant | 6401 Prairie St, Suite 1600, Norton Shores, MI 49444-7840 | 2016-08-22 |
| 1730571100 | Mercy Health Partners | Prosthetic/Orthotic Supplier | 6401 Prairie St, Suite 2900, Norton Shores, MI 49444-7840 | 2015-02-23 |
| 1174924948 | Alicia A Gappa | Nurse Practitioner | 6401 Prairie St, Suite 1600, Norton Shores, MI 49444-7840 | 2014-09-11 |
| 1922445022 | Jennifer Kay Dulaney | Family Medicine | 6401 Prairie St, Suite 1600, Norton Shores, MI 49444-7840 | 2013-05-29 |
| 1952664583 | Alex Francis Wagner | Family Medicine | 6401 Prairie St, Suite 1600, Norton Shores, MI 49444-7840 | 2012-06-19 |
| 1184911596 | Jennifer Lynn Mosher | Nurse Practitioner | 6401 Prairie St, Suite 2300, Norton Shores, MI 49444-7840 | 2011-07-06 |
| 1215183892 | Sara Staupe Holzgen | Obstetrics & Gynecology | 6401 Prairie St, Norton Shores, MI 49444-7840 | 2008-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417193616 | Rexford Primary Care Services,plc | Family Medicine | 1361 Forest Park Rd, Norton Shores, MI 49441-4638 | 2008-12-18 |
| 1154397404 | David G Booth | Family Medicine | 3535 Park St Ste 110, Norton Shores, MI 49444-3736 | 2006-02-27 |
| 1952388563 | Diane L Parrett | Family Medicine | 6207 Harvey St Ste A, Norton Shores, MI 49444-7861 | 2005-12-23 |
| 1275510034 | Katherine Young | Family Medicine | 3587 Henry St Ste 200, Norton Shores, MI 49441 | 2005-12-22 |
| 1962403709 | George E Overly | Family Medicine | 800 E Ellis Rd, Norton Shores, MI 49441-5622 | 2005-08-02 |
| 1487069233 | Kyle D Mckinney | Family Medicine | 3535 Park St Ste 110, Norton Shores, MI 49444 | 2014-06-30 |
| 1447670765 | Brett C Erickson | Family Medicine | 3587 Henry St, Norton Shores, MI 49441-6732 | 2014-04-25 |
| 1922445022 | Jennifer Kay Dulaney | Family Medicine | 6401 Prairie St, Suite 1600, Norton Shores, MI 49444-7840 | 2013-05-29 |
| 1952664583 | Alex Francis Wagner | Family Medicine | 6401 Prairie St, Suite 1600, Norton Shores, MI 49444-7840 | 2012-06-19 |
| 1265749451 | Krista Joy Hillman | Family Medicine | 6401 Prairie St Ste 2600, Norton Shores, MI 49444-7842 | 2010-09-09 |
| Find all providers in NORTON SHORES | ||||
| City | NORTON SHORES |
| Zip Code | 49444 |
Please comment or provide details below to improve the information on KELLY A FLYNN.
| 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.