KELLY ANN WHEELER


Address: 252 S 4th St, Lebanon, PA 17042-6111
Phone: 7176393150

KELLY ANN WHEELER (NPI# 1629622204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629622204
Entity Type Individual
Full Name KELLY ANN WHEELER
Credential CRNP, AGPCNP-BC
Practice Address 252 S 4th St
Lebanon
PA 17042-6111
Mailing Address 3421 Concord Rd
York
PA 17402-9001
Practice Telephone 7176393150
Practice Fax Number 7178512602
Mailing Telephone 7176393150
Mailing Fax Number 7178512602
Enumeration Date 2019-07-31
Last Update Date 2020-06-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
SP020438 PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY WHEELER

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1306340484 Kelly Ruth Wheeler Doula 715 Augusta St, West Columbia, SC 29169-7203 2018-03-22
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1881186351 Kelly Wheeler Community Health Worker 600 El Paseo, Lakeland, FL 33805-4521 2018-05-31
1336515485 Kelly Wheeler Speech-Language Pathologist 6508 Gunn Hwy, Tampa, FL 33625-4022 2015-08-12
1730597360 Kelly Wheeler Nurse Practitioner 3601 A St, Philadelphia, PA 19134-1043 2014-07-28
1225471972 Kelly Wheeler Pharmacist 3050 W Northern Ave, Pueblo, CO 81005-2317 2013-04-12
1457676637 Kelly Ann Wheeler Social Worker 3125 Poplarwood Ct Ste 300, Raleigh, NC 27604-6445 2010-03-31
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Office Location

Street Address 252 S 4TH ST
City LEBANON
State PA
Zip Code 17042-6111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053309609 Stephen R. Longo Anesthesiology 252 S 4th St, Lebanon, PA 17042-6111 2005-10-07
1104423219 Adaelsy M Sanchez Nurse's Aide 252 S 4th St, Lebanon, PA 17042-6123 2020-10-02
1306464847 Catherine Waselkov Nurse Practitioner 252 S 4th St, Lebanon, PA 17042-6111 2020-07-10
1689291122 Margo Renee Keller Physician Assistant 252 S 4th St, Lebanon, PA 17042-6111 2020-07-01
1932738150 Kathleen Glenn Pediatrics 252 S 4th St, Lebanon, PA 17042-6111 2020-04-08
1336777507 Lindsey Donat Speech-Language Pathologist 252 S 4th St, Lebanon, PA 17042-6111 2020-04-01
1801435714 Kathryn Ann Ertel Physician Assistant 252 S 4th St, Lebanon, PA 17042-6111 2019-12-26
1083105696 Ashlee Wheeler Nurse Anesthetist, Certified Registered 252 S 4th St, Lebanon, PA 17042-6111 2018-05-21
1073001319 Devin Knisely Registered Nurse 252 S 4th St, Lebanon, PA 17042 2018-04-23
1720504152 Elizabeth A Petcov Hospitalist 252 S 4th St, Lebanon, PA 17042-6111 2017-08-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023676384 Sandra L Pistone Registered Nurse 905 S. 2nd Ave, Lebanon, PA 17042 2019-06-03
1154848414 Kihc, LLC Home Health 900-c Centerville Road, Suite C, Lancaster, PA 17042 2017-08-28
1316301724 Good Samaritan Physician Services Radiology 844 Tuck Street, Lebanon, PA 17042 2016-04-12
1609265883 Ashley Hess Behavioral Analyst 15th South 9th Street, Lebanon, PA 17042 2015-01-12
1932504727 Anthony Salvadore Petrole Physician Assistant 252 4th Street, Lebanon, PA 17042 2014-10-23
1801209713 Matthew Johnson Family Medicine 920 Church Street, Lebanon, PA 17042 2014-06-09
1437414505 Odalys Gonzalez-rodriguez Physical Therapist 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 2012-07-05
1750677175 Anita Lyn Stokes Speech-Language Pathologist 1126 Walnut Street, Lebanon, PA 17042 2011-06-23
1205126497 Karey Lynn Foote Pharmacist 415 S. 9th St, Lebanon, PA 17042 2011-04-09
1013227685 T. W. Ponessa and Associates Counseling Services, Inc. Community/Behavioral Health 101 E. Evergreen Road, Lebanon, PA 17042 2010-10-18
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720645161 Christine Rose Dobbs Nurse Practitioner 509 S 4th St, Lebanon, PA 17042-6806 2019-05-21
1770048787 Heather R Wells Nurse Practitioner 726 E Main St Ste F #205, Lebanon, OH 45036-1900 2019-02-04
1962745356 Angie C Riddle Nurse Practitioner 1430 W Baddour Pkwy Ste A, Lebanon, TN 37087-2656 2013-04-03
1154686673 Stephanie Ruckman Nurse Practitioner 115 Moriah Dr, Lebanon, TN 37090-0731 2012-07-10
1053874263 Maria Michelle Druckman Nurse Practitioner 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2019-04-13
1326567017 Keith Walter Edinger Nurse Practitioner 1700 South Lincoln Avenue, Lebanon, PA 17042 2017-09-13
1295196673 Amelia Jo Horn Nurse Practitioner 1600 W Main St, Lebanon, IN 46052 2016-03-14
1558600239 Carole L Putnam Nurse Practitioner 18 Old Etna Road, Sleep Medicine, Lebanon, NH 03766 2013-01-31
1528033016 Connie Elaine Rawls Nurse Practitioner 1420 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-1510 2006-02-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144820622 Diyong S Graham Nurse Practitioner 2812 Tremont St, Philadelphia, PA 19136-1025 2020-10-26
1457967499 Rpg Health Nurse Practitioner 332 Frenchtown Rd, Milford, PA 18337-9004 2020-09-16
1427666759 Arevik Bagdasarova Nurse Practitioner 312 W Providence Rd, Aldan, PA 19018-3830 2020-07-22
1346861978 Christine Martinez Nurse Practitioner 2 W Baltimore Ave Ste 101, Media, PA 19063-3740 2020-05-05
1720608490 Jaci Trosky Nurse Practitioner 2824 Enon Rd, Enon Valley, PA 16120-1454 2020-04-22
1750910808 Alpha Integrated Clinic Nurse Practitioner 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 2020-04-01
1427681394 Hwayoung Kim Nurse Practitioner 315 New St Apt 403, Philadelphia, PA 19106-1135 2020-02-19
1720624539 Patrice Carver Cash Nurse Practitioner 539 Chain St, Norristown, PA 19401-4607 2019-11-27
1184267809 Charlene Angella Pitter Nurse Practitioner 170 Warren Ave, Williamsport, PA 17701 2019-10-25
1528601739 Ashley Lynn Swartz Nurse Practitioner 390 Gates St, Johnstown, PA 15906-1906 2019-10-21
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Competitor

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City LEBANON
Zip Code 17042

Improve Information

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Dataset Information

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.

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