DR. SAMPSON RICHARD FENNELLY (NPI# 1568743227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568743227 |
| Entity Type | Individual |
| Full Name | DR. SAMPSON RICHARD FENNELLY |
| Credential | D.C. |
| Practice Address |
1600 Whitefish Stage Suite 1 Kalispell MT 59901-2172 |
| Practice Telephone | 4067553014 |
| Practice Fax Number | 4067553214 |
| Mailing Telephone | 4067553014 |
| Mailing Fax Number | 4067553214 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1255 | MT | Chiropractic Providers |
| Street Address |
1600 WHITEFISH STAGE SUITE 1 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-2172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074009 | Brian Howe | Chiropractor | 4188 Whitefish Stage, Kalispell, MT 59901-6735 | 2019-10-14 |
| 1891263885 | Reid Doyle | Chiropractor | 2450 Us Highway 93 S, Kalispell, MT 59901-7532 | 2018-11-07 |
| 1366809485 | Hayley Gutowski | Chiropractor | 690 N Meridian Rd Ste 214, Kalispell, MT 59901-3508 | 2016-01-20 |
| 1104261015 | Kali Marie Gillen | Chiropractor | 105 Westview Park Pl, Kalispell, MT 59901-1401 | 2013-05-06 |
| 1528305810 | Jason Reuben Rountree | Chiropractor | 1327 Us Highway 2 W Ste 2, Kalispell, MT 59901-3413 | 2013-01-07 |
| 1538441126 | Alex Leigh Fennelly | Chiropractor | 450 Corporate Dr, Suite 108, Kalispell, MT 59901-6094 | 2011-09-09 |
| 1811170962 | Northern Lights Chiropractic, Inc. | Chiropractor | 1340 Airport Rd, Kalispell, MT 59901-5701 | 2007-12-12 |
| 1922297456 | Family Chiropractic & Wellness Inc. | Chiropractor | 2117 Hwy 2 East, Kalispell, MT 59901 | 2007-10-22 |
| 1811188907 | Back On Track Family Chiropractic Center, Inc. | Chiropractor | # 5 South Meridian Rd, Kalispell, MT 59901-4263 | 2007-08-05 |
| 1437362852 | Robert S Bailey | Chiropractor | 230 2nd St E, Kalispell, MT 59901-4510 | 2007-05-08 |
| Find all providers in KALISPELL | ||||
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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.