PATRICK SEAN KELLY (NPI# 1598747396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598747396 |
| Entity Type | Individual |
| Full Name | PATRICK SEAN KELLY |
| Other Name | P SEAN KELLY |
| Credential | MD |
| Practice Address |
1000 S 12th St Murray KY 42071-9303 |
| Practice Telephone | 2707599200 |
| Practice Fax Number | 2707599966 |
| Mailing Telephone | 2707599200 |
| Mailing Fax Number | 2707599966 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2015-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 32195 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE PROV NO | 110168896 | 01 |
| KY | 64321953 | 05 | |
| KY | ANTHEM PROVIDER NUMBER | 000000050312 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730672833 | Patrick John Kelly | Dentist | 244 Fm 306 Ste 118, New Braunfels, TX 78130-5487 | 2018-06-13 |
| 1851895031 | Patrick Harry Kelly | Counselor | 5435 Bull Valley Rd Ste 230, Mchenry, IL 60050-7435 | 2018-03-21 |
| 1508391665 | Patrick Joel Kelly | Behavior Technician | 814 D St Apt 3, Sacramento, CA 95814-0722 | 2017-04-26 |
| 1720409824 | Patrick John Kelly | Physician Assistant | 3318 Broadway, Astoria, NY 11106-1806 | 2013-12-17 |
| 1881951622 | Patrick S Kelly | Dentist | 9860 Westpoint Dr Ste 100, Indianapolis, IN 46256-3398 | 2012-04-18 |
| 1821365198 | Patrick John Kelly | Physical Therapist | 1841 Broadway Rm 507, Suite 507, New York, NY 10023-7685 | 2011-11-30 |
| 1881971919 | Patrick Ryan Kelly | Registered Nurse | 1600 North Drive, Sioux Falls, SD 57117 | 2011-11-03 |
| 1821322710 | Patrick Kelly | Technician/Technologist | 1490 W Patapsco Ave, Baltimore, MD 21230-3400 | 2009-09-24 |
| 1457518003 | Patrick Britton Kelly | Dentist | 5352b Highway 90 W, Mobile, AL 36619-4202 | 2008-05-21 |
| 1306026919 | Patrick Francis Kelly | Pediatrics | 87 Cambridgepark Dr, Y2010, Cambridge, MA 02140-2311 | 2007-11-12 |
| Street Address |
1000 S 12TH ST |
| City | MURRAY |
| State | KY |
| Zip Code | 42071-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208517 | Ralph D Millsaps | Internal Medicine | 1000 S 12th St, Murray, KY 42071-9303 | 2005-07-08 |
| 1952916827 | Kaitlyn Brooks Renard | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2020-09-08 |
| 1851909519 | Kissa Lynn Dibble | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2020-07-20 |
| 1255897625 | Primary Care Medical Center | Physician Assistant | 1000 S 12th St, Murray, KY 42071-9303 | 2019-02-11 |
| 1831674654 | Vmd Primary Providers Central Kentucky | Family Medicine | 1000 S 12th St, Murray, KY 42071-9303 | 2018-09-27 |
| 1285117978 | Janna L French | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2018-09-10 |
| 1770090052 | Misty D Sanderson | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2018-01-08 |
| 1104348622 | Villagemd Kentucky, Psc | Internal Medicine | 1000 S 12th St, Murray, KY 42071 | 2017-07-17 |
| 1982124491 | Gina C Owens | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071 | 2017-06-26 |
| 1821538745 | Sharlotte Ashley Wilson | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2017-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989347 | Roy Berry Mckendree | Pharmacist | 208 N 12th, Murray, KY 42071 | 2019-12-20 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1205335346 | Elevation Dentistry Pllc | Dentist | 1710 Hwy 121 N. Byp. Ste A, Murray, KY 42071 | 2018-02-05 |
| 1114431715 | Devin Cassity | Specialist/Technologist | Roy Stewart Stadium Gibert Graves Drive, Murray, KY 42071 | 2017-11-20 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1780039529 | Kelli Bathon | Developmental Therapist | 1988 Rowlett Trl, Murray, KY 42071 | 2016-04-29 |
| 1184060287 | William D Dewees | Veterinarian | Carman Pavilion/100 Aht Center/college Farm Road, Murray State University, Murray, KY 42071 | 2013-05-15 |
| 1467719674 | Anna Jayjock | Dentist | 700 Whitnell Avenue, Murray, KY 42071 | 2012-04-12 |
| 1629380704 | Michael James Bordieri | Psychologist | 401c Wells Hall, Murray State University, Murray, KY 42071 | 2010-07-06 |
| 1760706501 | Patrick William Thornton | Chiropractor | 408 South 12th Street, Murray, KY 42071 | 2010-03-23 |
| Find all providers in zip 42071 | ||||
| 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 |
|---|---|---|---|---|
| 1194343095 | Ihc Health Services Inc | Internal Medicine | 5217 S State St Ste 250, Murray, UT 84107-4943 | 2020-07-08 |
| 1821558024 | Millcreek Medical Pllc | Internal Medicine | 5526 S Van Winkle Expy, Murray, UT 84117-7324 | 2019-03-22 |
| 1669755039 | Peter John Haug | Internal Medicine | 5171 South Cottonwood Str., Suite 220, Murray, UT 84107 | 2011-09-22 |
| 1578710158 | Aamir Raza | Internal Medicine | 5171 S Cottonwood St Ste 210, Murray, UT 84107-5718 | 2008-08-26 |
| 1447454368 | Nathan Brent Holladay | Internal Medicine | 865 E 4800 S Ste 160, Murray, UT 84107-5507 | 2007-06-13 |
| 1912116674 | David Wayne Guidry | Internal Medicine | 5121 S Cottonwood St Fl 6, Murray, UT 84107-5701 | 2007-05-21 |
| 1568555068 | Steven P Jepson | Internal Medicine | 5323 Woodrow St #101, Murray, UT 84107 | 2006-10-02 |
| 1396850707 | Regina W Drueding | Internal Medicine | 5171 S Cottonwood St Ste 350, Murray, UT 84107-5733 | 2006-08-19 |
| 1164434486 | Scott Aberegg | Internal Medicine | 5979 S Fashion Blvd, Murray, UT 84107 | 2006-08-13 |
| 1427060342 | Douglas M Romney | Internal Medicine | 5810 Fashion Blvd, #205, Murray, UT 84107-6178 | 2006-08-12 |
| Find all providers in MURRAY | ||||
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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.