KELLIE L KING (NPI# 1588892491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588892491 |
| Entity Type | Individual |
| Full Name | KELLIE L KING |
| Practice Address |
1120 15th St Augusta GA 30912-0004 |
| Mailing Address |
1499 Walton Way Suite 1400 Augusta GA 30901-2602 |
| Practice Telephone | 7062100642 |
| Mailing Telephone | 7067246100 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554264 | Kellie Ruth King | Nurse Practitioner | 7043 Miramar, Grand Prairie, TX 75054-5563 | 2020-09-24 |
| 1609245034 | Kellie Victoria King | Massage Therapist | 1800 West Cummings Avenue, Opp, AL 36467 | 2015-09-16 |
| 1912221839 | Kellie Denise King | Counselor | 1737 Linwood Blvd, Oklahoma City, OK 73106-5037 | 2010-03-22 |
| 1508087081 | Kellie Joiner King | Social Worker | 709 Main St., Bayboro, NC 28515 | 2007-05-01 |
| 1740890201 | Kellie King | Nurse Practitioner | 7575 Northcliff Ave, Brooklyn, OH 44144-3267 | 2020-08-08 |
| 1568946150 | Kellie King | Nurse Practitioner | 508 N Main St Ste A, Hinesville, GA 31313-2570 | 2018-09-19 |
| 1780199828 | Kellie King | Social Worker | 2980 S Rainbow Blvd, Las Vegas, NV 89146-6531 | 2017-12-12 |
| Street Address |
1120 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
| 1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
| 1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
| 1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
| 1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
| 1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
| 1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
| 1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275003527 | Victoria Lynn Weber | Genetic Counselor, MS | 1447 Harper St # Bp5353, Augusta, GA 30912-0020 | 2018-11-29 |
| 1669580551 | Carolyn Mills Lovell | Genetic Counselor, MS | 1120 15th St., Bg 1071, Augusta, GA 30912-3720 | 2006-08-29 |
| 1649881996 | Morgan Dimery Luevano | Genetic Counselor, MS | 818 Saint Sebastian Way Ste 205, Augusta, GA 30901-2652 | 2020-08-11 |
| 1649766437 | Shandrea Foster | Genetic Counselor, MS | 818 Saint Sebastian Way Ste 205, Augusta, GA 30901-2652 | 2018-07-05 |
| 1033621701 | Amelia Wardyn | Genetic Counselor, MS | 818 Saint Sebastian Way Ste 205, Augusta, GA 30901-2652 | 2017-11-02 |
| 1326232430 | Julie Williams | Genetic Counselor, MS | 1499 Walton Way, Ste 1400, Augusta, GA 30901-2602 | 2007-08-31 |
| 1649261124 | Ellen Elizabeth Parker | Genetic Counselor, MS | 1120 15th St, Bb7514, Augusta, GA 30912-0004 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1841773397 | Palak Bawa | Genetic Counselor, MS | 550 Peachtree St Ne Ste 1502, Atlanta, GA 30308-2247 | 2018-09-11 |
| 1316423759 | Dillon Davis | Genetic Counselor, MS | 1800 Howell Mill Rd Nw Ste 625, Atlanta, GA 30318-2538 | 2018-07-18 |
| 1881045144 | Melanie Hardy | Genetic Counselor, MS | 5115 New Peachtree Rd Ste 301, Atlanta, GA 30341-3326 | 2016-06-28 |
| 1336518521 | Sarah Siddiqui | Genetic Counselor, MS | 320 Kennestone Hospital Blvd Ste 216, Marietta, GA 30060-1140 | 2015-09-18 |
| 1508242157 | Christine Redulla Tallo | Genetic Counselor, MS | Tufts House 2004 Ridgewood Dr, Atlanta, GA 30322-1020 | 2015-08-05 |
| 1063819126 | Alekhya Narravula | Genetic Counselor, MS | 784 Ponce De Leon Pl Ne Apt 101, Atlanta, GA 30306-4152 | 2014-12-04 |
| 1568878155 | Yunru Shao | Genetic Counselor, MS | 6008 Oak Park Cir Ne, Atlanta, GA 30324-5294 | 2014-07-03 |
| 1942611348 | Darnell Phillips | Genetic Counselor, MS | 2115 Piedmont Rd Ne, 3112, Atlanta, GA 30324-4154 | 2014-05-19 |
| 1023454253 | Hung H Chiu | Genetic Counselor, MS | 4725 Peachtree Corners Cir, Norcross, GA 30092-2571 | 2013-05-15 |
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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.