PETER KELLY (NPI# 1730737529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730737529 |
| Entity Type | Individual |
| Full Name | PETER KELLY |
| Practice Address |
3055 Cass Rd Ste 102b Traverse City MI 49684-7940 |
| Practice Telephone | 2318468897 |
| Mailing Telephone | 2318468897 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301010837 | MI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609342245 | Peter Isaac Kelly | Technician | 17375 E Adriatic Dr Apt N102, Aurora, CO 80013-4138 | 2018-10-22 |
| 1982869467 | Peter Kelly | Family Medicine | 110 Marter Ave Ste 503, Moorestown, NJ 08057-3120 | 2008-07-23 |
| 1114907458 | Peter F Kelly | Podiatrist | 4106 Electric Rd, Roanoke, VA 24014-2814 | 2006-01-20 |
| 1649271883 | Peter J Kelly | Ophthalmology | 1504 N Main St, Palmer, MA 01069-1215 | 2005-08-10 |
| 1548876154 | Peter Kelly | Occupational Therapist | 313 W County Line Rd, Hatboro, PA 19040-1102 | 2020-09-18 |
| 1396390118 | Peter Kelly | Physical Therapist | 940 High St, Westwood, MA 02090-2762 | 2019-08-08 |
| 1649558412 | Peter J Kelly | Dentist | 2520 Us Highway 1 S, St Augustine, FL 32086-6194 | 2011-07-28 |
| 1578853099 | Peter Kelly | Nurse Practitioner | 27005 76th Ave, Oncology Bldg., 3rd Floor, New Hyde Park, NY 11040-1402 | 2011-04-18 |
| 1205080850 | Peter Hamilton Kelly | Emergency Medicine | 776a Watervliet Shaker Rd, Access Health Systems, Latham, NY 12110 | 2008-11-10 |
| 1356557524 | Peter Meagher Kelly | Internal Medicine | 3291 Loma Vista Rd, Ventura, CA 93003-3099 | 2007-05-15 |
| Street Address |
3055 CASS RD STE 102B |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-7940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770087199 | Shift Chiropractic, Plc | Chiropractor | 3055 Cass Rd Ste 102b, Traverse City, MI 49684-7940 | 2018-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| 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 |
|---|---|---|---|---|
| 1083100457 | Third Coast Chiropractic LLC | Chiropractor | 1201 E Front St, Traverse City, MI 49686-2928 | 2018-07-09 |
| 1144724550 | Kyle William Konas | Chiropractor | 3055 Cass Rd, Ste 102b, Traverse City, MI 49684-7940 | 2018-03-20 |
| 1770087199 | Shift Chiropractic, Plc | Chiropractor | 3055 Cass Rd Ste 102b, Traverse City, MI 49684-7940 | 2018-03-20 |
| 1700330768 | Daniel P Jarboe | Chiropractor | 263 W Grandview Pkwy, Traverse City, MI 49684 | 2016-08-08 |
| 1104287622 | Pathways Chiropractic Pllc | Chiropractor | 1001 Bay St, Suite C, Traverse City, MI 49684-1449 | 2016-03-10 |
| 1295114973 | Grand Traverse Family Chiropractic Pllc | Chiropractor | 4110 Copper Ridge Dr Ste 210, Traverse City, MI 49684-6721 | 2015-05-27 |
| 1750784765 | Donald Jay Funk | Chiropractor | 418 S Union St, Traverse City, MI 49684-5756 | 2014-10-03 |
| 1215369335 | Mark H Hoffmann Chiropractic Pllc | Chiropractor | 115 E 14th St., Traverse City, MI 49684 | 2013-07-31 |
| 1134462195 | Tc Chiropractic PC | Chiropractor | 1000 3 Mile Road, Traverse City, MI 49696 | 2013-03-28 |
| 1912247743 | Jivanta Chiropractic Wellness Centre Pllc | Chiropractor | 1235 Woodmere Ave, Traverse City, MI 49686-4249 | 2013-02-14 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on PETER 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.