DR. EDWARD JAMES KELLY (NPI# 1609929074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609929074 |
| Entity Type | Individual |
| Full Name | DR. EDWARD JAMES KELLY |
| Credential | D.C. |
| Practice Address |
231 W Patison St Port Hadlock WA 98339-9751 |
| Mailing Address |
Po Box 445 Port Hadlock WA 98339-0445 |
| Practice Telephone | 3603854900 |
| Practice Fax Number | 3603853798 |
| Mailing Telephone | 3603854900 |
| Mailing Fax Number | 3603853798 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00034309 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA CHIROPRACTIC LICENSE | CH00034309 | 01 |
| WA | RAILROAD MEDICARE | P00299127 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417289927 | Edward Allen Kelly | General Practice | 315 Hillsboro St, Pittsboro, NC 27312-9313 | 2010-02-08 |
| 1164616488 | Edward M Kelly Jr. | Dentist | 1726 W Jarrettsville Rd, Jarrettsville, MD 21804-1524 | 2007-08-29 |
| 1235122300 | Edward A. Kelly Jr. | Family Medicine | 99 Manor Ave, Downingtown, PA 19335-2620 | 2005-08-24 |
| 1891344024 | Edward Robert Kelly | Specialist/Technologist | 512 N Campus, Ithaca, NY 14853-6007 | 2019-09-10 |
| 1679134910 | Edward Joseph Kelly Iv | Surgery | Musc Gme Office 169 Ashley Avenue Room 202 Muh Msc 33, Charleston, SC 29425-0001 | 2019-06-26 |
| 1326450073 | Edward M Kelly | Physical Therapy Assistant | 11039 Dugway Rd, Fillmore, NY 14735-8610 | 2014-05-29 |
| 1699015610 | Edward George Kelly | Orthopaedic Surgery | 212 9th St, Pittsburgh, PA 15222-3517 | 2013-02-28 |
| 1124315957 | Edward T Kelly Iv | Dentist | 114 Woodland St, Hartford, CT 06105-1208 | 2011-06-30 |
| 1083890503 | Edward Lawrence Kelly Jr. | Licensed Practical Nurse | 711 S Vine St, Glenwood, IA 51534-1927 | 2008-01-15 |
| 1235146689 | Edward Kelly | Dentist | 5900 Spout Springs Rd, Ste U-21, Flowery Branch, GA 30542-6448 | 2006-08-01 |
| Street Address |
231 W PATISON ST |
| City | PORT HADLOCK |
| State | WA |
| Zip Code | 98339-9751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588602742 | Michael Dam | Chiropractor | 231 W Patison St, Port Hadlock, WA 98339-9751 | 2006-06-02 |
| 1366857948 | Renee Collier | Massage Therapist | 231 W Patison St, Port Hadlock, WA 98339-9751 | 2014-06-23 |
| 1104115575 | Margaret Starr Corley | Massage Therapist | 231 W Patison St, Port Hadlock, WA 98339-9751 | 2011-04-06 |
| 1861794182 | Peninsula Chiropractic Clinic | Nurse Practitioner | 231 W Patison St, Port Hadlock, WA 98339-9751 | 2010-11-18 |
| 1225218472 | Joanna Marie Folk Scheibl | Massage Therapist | 231 W Patison St, Port Hadlock, WA 98339-9751 | 2007-11-05 |
| 1598842635 | Jean C Laskey | Registered Nurse | 231 W Patison St, Port Hadlock, WA 98339-9751 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760868129 | Cristie Anne Vancamp | Massage Therapist | 863-d Ness Corner Road, Port Hadlock, WA 98339 | 2015-08-07 |
| 1689956567 | Tri-area Rx LLC | Pharmacy | 65 Oak Bay Road, Port Hadlock, WA 98339 | 2011-09-15 |
| 1063793198 | Renaldo Ganir | Pharmacist | 65 Oak Bay Rd, Port Hadlock, WA 98339 | 2011-09-02 |
| 1942474887 | Lisa Madelle Bottomley | Counselor | 219c West Patison, Port Hadlock, WA 98339 | 2008-04-22 |
| 1154504330 | Laura Lee Nastri | Counselor | 101 Oak Bay Road, Port Hadlock, WA 98339 | 2007-12-11 |
| 1083834675 | Dentistry Northwest | Dentist | 131 Randolph St, Port Hadlock, WA 98339 | 2007-04-26 |
| 1407937501 | John David Barrett | Dentist | 131 Randolph Street, Port Hadlock, WA 98339 | 2006-10-17 |
| 1467542985 | David O Schores | Optometrist | 150 Chimacum Rd., Port Hadlock, WA 98339 | 2006-10-13 |
| 1518971498 | Christina M Hellwich | Physical Therapist | 27 Colwell, Port Hadlock, WA 98339 | 2006-07-28 |
| 1245257054 | Ann M Failoni | Nurse Practitioner | 661 Ness Corner Rd, Port Hadlock, WA 98339 | 2006-07-16 |
| Find all providers in zip 98339 | ||||
| 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 |
|---|---|---|---|---|
| 1588602742 | Michael Dam | Chiropractor | 231 W Patison St, Port Hadlock, WA 98339-9751 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416538 | Robert Martinez Molato | Chiropractor | 5106 Donnelly Dr Se, Olympia, WA 98501-5012 | 2020-10-26 |
| 1134726417 | Logan Chavez | Chiropractor | 1000 E Harvest Loop Apt 901, Ellensburg, WA 98926-5423 | 2020-10-08 |
| 1467059212 | Anderson Chiropractic Corporation, P.s. | Chiropractor | 6720 Regents Blvd Ste 108, University Place, WA 98466-5400 | 2020-10-05 |
| 1063019966 | Madison Allen | Chiropractor | 12339 Clubhouse Ln, Mukilteo, WA 98275-5577 | 2020-10-04 |
| 1528675527 | Joseph Gonzalez | Chiropractor | 1218 Ne 88th St Ste 108, Vancouver, WA 98665-9696 | 2020-09-24 |
| 1124633466 | Nolan Craig Ethridge | Chiropractor | 11515 Burnham Dr # 101, Gig Harbor, WA 98332-8543 | 2020-09-14 |
| 1235743402 | Caleb Mcinnis | Chiropractor | 18336 Aurora Ave N Ste 111, Shoreline, WA 98133-4526 | 2020-09-03 |
| 1174135925 | Brent Duncan | Chiropractor | 4813 Sw Walker St, Seattle, WA 98116-2149 | 2020-08-21 |
| 1336750900 | Hanchuan Ma | Chiropractor | 4744 41st Ave Sw Apt 415, Seattle, WA 98116-4568 | 2020-08-16 |
| 1285244079 | Wellness Group Pllc | Chiropractor | 2007 152nd Ave Ne Ste W, Redmond, WA 98052-5521 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | PORT HADLOCK |
| Zip Code | 98339 |
Please comment or provide details below to improve the information on DR. EDWARD JAMES 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.