JENNIFER KELLEY (NPI# 1710920210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710920210 |
| Entity Type | Individual |
| Full Name | JENNIFER KELLEY |
| Credential | MD |
| Practice Address |
6675 Holmes Rd Ste 360 Kansas City MO 64131-1150 |
| Mailing Address |
6675 Holmes Rd Ste 450 Kansas City MO 64131-1150 |
| Practice Telephone | 8162767600 |
| Practice Fax Number | 8162767992 |
| Mailing Telephone | 8162767600 |
| Mailing Fax Number | 8162767090 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2013-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 113171 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100388320B | 05 | |
| MO | 205208713 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366052136 | Jennifer Marie Kelley | Nurse Practitioner | 801 Forest Lake Dr, Lexington, KY 40515-6299 | 2020-08-05 |
| 1215405659 | Jennifer Kelley | Student in an Organized Health Care Education/Training Program | 1811 S Black Ave Apt B, Bozeman, MT 59715-5768 | 2018-11-03 |
| 1649789264 | Jennifer Kelley | Counselor | 1507 Riverside Ave Ste 202, Fort Collins, CO 80524-4382 | 2017-09-26 |
| 1104359876 | Jennifer Elizabeth Kelley | Family Medicine | 2200 Fowler Grove Blvd Ste 140, Winter Garden, FL 34787-5597 | 2017-04-09 |
| 1033666730 | Jennifer Kelley | Counselor | 712 N 8th St, Carlton, OR 97111-1233 | 2016-09-09 |
| 1043618382 | Jennifer Nicole Kelley | Specialist/Technologist | 520 Lizzie Pl E, West Fargo, ND 58078-8500 | 2014-12-19 |
| 1922244920 | Jennifer Lynn Kelley | Counselor | 414 Calvert Rd, Stevensville, MD 21666-2620 | 2008-12-21 |
| 1750407433 | Jennifer Emily Kelley | Occupational Therapy Assistant | 425 Phillips Hill Rd, Coventry, RI 02816-4841 | 2007-03-22 |
| 1104975101 | Jennifer Danelle Kelley | Counselor | 1114 Pacific Ave, 3rd Floor, Everett, WA 98201-4231 | 2007-01-09 |
| 1174563019 | Jennifer Lynn Kelley | Advanced Practice Midwife | 4200 Whitehall Dr Ste 350, Ann Arbor, MI 48105-9694 | 2006-06-08 |
| Street Address |
6675 HOLMES RD STE 360 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64131-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778480 | Frederick Noah Shuler | Internal Medicine | 6675 Holmes Rd, Ste 320, Kansas City, MO 64131-1167 | 2005-05-24 |
| 1801415054 | Ali A. Sayed | Student in an Organized Health Care Education/Training Program | 6675 Holmes Rd, Kansas City, MO 64131-1150 | 2020-04-08 |
| 1508219445 | Blue Sky Fertility Services LLC | Obstetrics & Gynecology | 6675 Holmes Rd, Ste 680, Kansas City, MO 64131-1150 | 2016-07-15 |
| 1316398340 | Varsha Pawate | Family Medicine | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1150 | 2016-06-30 |
| 1073964524 | Gaurav Chaturvedi | Family Medicine | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1150 | 2016-06-27 |
| 1497104566 | Priscilla Kay Borden | Family Medicine | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1150 | 2016-06-08 |
| 1225487820 | William Joseph Patton | Family Medicine | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1150 | 2016-06-06 |
| 1033568787 | Joseph Michel Meier | Family Medicine | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1150 | 2016-06-03 |
| 1508249269 | Joanita Idicula | Family Medicine | 6675 Holmes Rd, Suite 450, Kansas City, MO 64131-1150 | 2015-06-30 |
| 1770965329 | Dianne Elizabeth Elledge | Family Medicine | 6675 Holmes Rd, Suite 450, Kansas City, MO 64131-1150 | 2015-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765450 | Jordana D'neil Mancini | Speech-Language Pathologist | 1000 E 68th St, Kansas City, MO 64131 | 2020-09-16 |
| 1205445780 | Jordan Barr | Physical Therapist | 1000 E 68th Street, Kansas City, MO 64131 | 2020-07-30 |
| 1093330599 | Tarek Haidar | Student in an Organized Health Care Education/Training Program | Research Medical Center / Goppert Family Medicine, 6675 Holmes Road, Ste 450, Kansas City, MO 64131 | 2020-06-10 |
| 1053870139 | Katherine Field | Student in an Organized Health Care Education/Training Program | Goppert-trinity Family Care, 6675 Holmes Rd Suite 360, Kansas City, MO 64131 | 2019-03-18 |
| 1962998328 | Mandy Winkert | Registered Nurse | 6301 Rockhill Rd Ste 302, Kansas City, MO 64131 | 2018-07-09 |
| 1386149623 | Sarah Frederike Otter | Student in an Organized Health Care Education/Training Program | 6675 Holmes #360, Kansas City, MO 64131 | 2018-03-28 |
| 1205354834 | Loice Kiante Jones | Contractor | 1315 E 83rd Terrace, Kansas City, MO 64131 | 2017-09-04 |
| 1104346691 | Christy Ann Oxley | Occupational Therapist | 400 Bannister Rd, Suite A, Kansas Citty, MO 64131 | 2017-06-26 |
| 1407392095 | Kara Lea Thomas | Chiropractor | 1152 E 78th St, Kansas City, MO 64131 | 2017-01-06 |
| 1013373489 | Margaret's Place LLC | Clinic/Center | 7217 Troost Ave, Kansas City, MO 64131 | 2016-01-14 |
| Find all providers in zip 64131 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356834774 | Lowell Fletcher | Family Medicine | Medical Office Building 2000 Olathe Blvc, Kansas City, KS 66160-0001 | 2018-06-11 |
| 1467943571 | Stopgap | Family Medicine | 202 Admiral Blvd, Kansas City, MO 64106-1504 | 2018-05-24 |
| 1376048876 | Eddy I Ndichie Jr. | Family Medicine | 7900 Lees Summit Rd Fl 3, Kansas City, MO 64139-1236 | 2018-03-27 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1639692098 | Partners In Primary Care Nc P C | Family Medicine | 301 E Armour Blvd Ste 2east, Kansas City, MO 64111-1245 | 2017-07-18 |
| 1740719749 | Alejandro Javier Montoya | Family Medicine | 2000 Ne Vivion Rd Ste 100, Kansas City, MO 64118-6127 | 2017-06-05 |
| 1689024382 | Christopher Hazen Short | Family Medicine | 2016 W 43rd Ave Ste A, Kansas City, KS 66103-3313 | 2016-06-14 |
| 1063889905 | Plaza Aesthetics & Wellness LLC | Family Medicine | 4806 Belleview Ave, Kansas City, MO 64112-1321 | 2015-08-26 |
| 1174904544 | Nathan L Boehr | Family Medicine | 5643 Locust St, Kansas City, MO 64110-2735 | 2015-06-11 |
| 1992107585 | Richard Cruz Ibarra | Family Medicine | 754 Pacific Ave, Kansas City, KS 66101-3714 | 2014-09-25 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64131 |
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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.