DR. KELLY ANNE FARRELL (NPI# 1639128291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639128291 |
| Entity Type | Individual |
| Full Name | DR. KELLY ANNE FARRELL |
| Credential | DC |
| Practice Address |
387 Edgebrook Rd Ne Bolivar OH 44612-8706 |
| Practice Telephone | 3308743545 |
| Practice Fax Number | 3308743542 |
| Mailing Telephone | 3308743545 |
| Mailing Fax Number | 3308743542 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2012-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3185 | OH | Chiropractic Providers |
| Street Address |
387 EDGEBROOK RD NE |
| City | BOLIVAR |
| State | OH |
| Zip Code | 44612-8706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699221473 | Robert Charles Ritchie | Home Health Aide | 9990 Hess Mill Rd, Apt C, Bolivar, OH 44612 | 2016-08-31 |
| 1679659635 | Bolivar Volunteer Fire Department, Inc. | Ambulance | 456 Water Street, Bolivar, OH 44612 | 2006-10-31 |
| 1639129513 | William Wray Emley Jr. | Chiropractor | 10948 State Route 212 Ne, Suite A, Bolivar, OH 44612 | 2006-05-11 |
| 1417363300 | Sylvia Jade Evans | Nurse's Aide | 801 Kerns Dr Ne, Apt B, Bolivar, OH 44612-8201 | 2014-07-11 |
| 1124484548 | Gabrielle Laux | Speech-Language Pathologist | 8404 French Hill Rd Nw, Bolivar, OH 44612-8413 | 2016-01-14 |
| 1073077590 | Spicer Orthopedics, LLC | Prosthetic/Orthotic Supplier | 1830 Ridge Rd Nw, Bolivar, OH 44612-8512 | 2019-01-29 |
| 1376007849 | Kevin M Spicer | Prosthetist | 1830 Ridge Rd Nw, Bolivar, OH 44612-8512 | 2019-01-29 |
| 1205261617 | Bethany Bair | Counselor | 1182 Bimeler St Ne, Bolivar, OH 44612-8665 | 2013-09-05 |
| 1225432610 | Jessica Heitman | Occupational Therapist | 1129 Fieldstone Cir Ne, Bolivar, OH 44612-8666 | 2014-10-15 |
| 1649248840 | Mark Andrew Hillyer | Family Medicine | 10724 State Route 212 Ne, Bolivar, OH 44612-8740 | 2006-03-14 |
| Find all providers in zip 44612 | ||||
| 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 |
|---|---|---|---|---|
| 1225283633 | Chiropractic Health and Wellness Center LLC | Chiropractor | 495 S Main Ave, Suite C, Bolivar, MO 65613-2126 | 2008-11-26 |
| 1295939205 | Gerard Isaac Porter | Chiropractor | 495 S Main Ave Ste C, Bolivar, MO 65613-2126 | 2007-06-13 |
| 1437378726 | Alma Christine Potter | Chiropractor | 3367 S Springfield Ave, Bolivar, MO 65613-9132 | 2007-04-25 |
| 1194881169 | Carl L Blomenkamp | Chiropractor | 2853 W Broadway St, Bolivar, MO 65613-3379 | 2006-12-27 |
| 1053358291 | Brian G Hackleman | Chiropractor | 341 S Springfield Ave, Bolivar, MO 65613-2040 | 2006-05-31 |
| 1437105798 | Brian G Hackleman Dc | Chiropractor | 800 E Aldrich Rd, Bolivar, MO 65613 | 2006-05-26 |
| 1639129513 | William Wray Emley Jr. | Chiropractor | 10948 State Route 212 Ne, Suite A, Bolivar, OH 44612 | 2006-05-11 |
| 1770532376 | Emley Family Chiropractic Inc | Chiropractor | 387 Edgebrook Blvd, Bolivar, OH 44612-8769 | 2006-05-09 |
| 1497242192 | Brian G. Hackleman, D.c., L.L.C. | Chiropractor | 341 S Springfield Ave, Bolivar, MO 65613-2040 | 2018-04-18 |
| 1811164312 | Health and Wellness Chiropractic Center, LLC | Chiropractor | 3367 S Springfield Ave, Bolivar, MO 65613-9132 | 2008-05-14 |
| Find all providers in BOLIVAR | ||||
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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.