MR. KENNETH FARREL KELLY (NPI# 1740255942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740255942 |
| Entity Type | Individual |
| Full Name | MR. KENNETH FARREL KELLY |
| Practice Address |
2669 Scenic Dr Alamogordo NM 88310-8700 |
| Practice Telephone | 5754396100 |
| Mailing Telephone | 5754396100 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | ME142464 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MD2010-0081 | NM | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MD00032760 | WA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | ME142464 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2100 N Dr Martin Luther King Jr Blvd, Clovis, NM 881019412 | 5757692141 | 5757697337 |
| 301 E Miel De Luna Ave, Tucumcari, NM 884013810 | 5754617074 | 5054611822 |
| 410 S 11th St, Lake Wales, FL 338534203 | 8636761433 | 9416769323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548790454 | Kenneth Kelly | Hearing Instrument Specialist | 1754 Madison St Ste A, Clarksville, TN 37043-2923 | 2017-06-13 |
| 1205052487 | Kenneth Gregory Kelly | Psychologist | 2297 Knowles Flat Rd, Eden, VT 05652 | 2007-04-17 |
| 1336364660 | Kenneth Kelly | Psychologist | 1118 W Aztec Blvd, Aztec, NM 87410-1818 | 2007-04-13 |
| 1821301961 | Kenneth Jason Kelly | Physical Therapist | 300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834-2973 | 2010-07-19 |
| 1598902512 | Kenneth Brian Kelly | Dentist | 201 Pleasant Valley Rd, Franklin, KY 42134-2722 | 2009-01-13 |
| 1396914990 | Kenneth Raymond Kelly | Dentist | 402 Princeton Rd, Suite A, Johnson City, TN 37601-2057 | 2008-02-27 |
| 1730224908 | Kenneth J Kelly | Emergency Medicine | 2000 Trident Way, San Diego, CA 92155-5599 | 2007-02-21 |
| 1003883083 | Kenneth J. Kelly | Dentist | 111 Grossman Dr, Braintree, MA 02184-4997 | 2006-03-08 |
| Street Address |
2669 SCENIC DR |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165147 | William L Pollard | Specialist | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2005-06-28 |
| 1033719240 | Matthew Anthony Larkin | Physical Therapist | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2020-10-27 |
| 1477161917 | Charles Wayne Hawkins Jr. | Pharmacist | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2020-07-21 |
| 1073150496 | Kelly Renee Mcalister | Nurse Practitioner | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2019-12-04 |
| 1780226795 | Callie Althea Shaw | Dietitian, Registered | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2019-10-10 |
| 1598314049 | Oluwabunmi Sarah Oba | Nurse Practitioner | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2019-09-07 |
| 1063065829 | Ana Rodriguez | Social Worker | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2019-07-22 |
| 1801448998 | Kinsey Jo Airhart | Nurse Practitioner | 2669 Scenic Dr, Alamogordo, NM 88310-8734 | 2019-07-10 |
| 1841857018 | Monica Dahlin | Physical Therapist | 2669 Scenic Dr, Alamogordo, NM 88310-8734 | 2019-05-23 |
| 1922662444 | Rebecca Richards | Dietitian, Registered | 2669 Scenic Dr, Alamogordo, NM 88310-8734 | 2019-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649512807 | Philip Walker | Internal Medicine | 280 1st St, Holloman Afb, Alamogordo, NM 88330 | 2013-03-25 |
| 1184803843 | Ferial Abood | Internal Medicine | 2559 Medical Dr Ste C, Alamogordo, NM 88310-8704 | 2007-10-30 |
| 1619064979 | Vista Del Sol Internal Medicine, Pa | Internal Medicine | 1212 Ninth St Ste C, Alamogordo, NM 88310-5842 | 2006-10-06 |
| 1578675765 | David Brent Aday | Internal Medicine | 1410 Aspen Drive, Alamogordo, NM 88310 | 2006-08-31 |
| 1174546600 | Franklin Donald Ashdown | Internal Medicine | 1301 Cuba Ave, Alamogordo, NM 88310-5727 | 2006-07-25 |
| 1932169448 | George Laws | Internal Medicine | 2579 N. Scenic Drive Suite A, Alamogordo, NM 88310-8700 | 2006-03-27 |
| 1336116268 | Stephen J Durant | Internal Medicine | 1101 9th St Ste A, Alamogordo, NM 88310-6432 | 2006-02-28 |
| 1043282395 | Nasser Jamal Alqassem | Internal Medicine | 1101 9th St, Ste A, Alamogordo, NM 88310 | 2006-02-02 |
| 1316925316 | Internal Medicine Associates of New Mexico, PC | Internal Medicine | 1101 9th St., Ste A, Alamogordo, NM 88310-6432 | 2006-01-09 |
| 1952304081 | Sarojana Hanumandla | Internal Medicine | 2751 Scenic Dr, Alamogordo, NM 88310-8726 | 2005-05-23 |
| Find all providers in ALAMOGORDO | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
Please comment or provide details below to improve the information on MR. KENNETH FARREL 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.