JENNIFER SUZANNE KELSO (NPI# 1750645446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750645446 |
| Entity Type | Individual |
| Full Name | JENNIFER SUZANNE KELSO |
| Practice Address |
11020 19th Ave Se Everett WA 98208-5155 |
| Practice Telephone | 4253377197 |
| Practice Fax Number | 4253379287 |
| Mailing Telephone | 4253377197 |
| Mailing Fax Number | 4253379287 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | VA60054959 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982450 | Jennifer Kelso | Behavior Technician | 648 Independence Pkwy Ste 300, Chesapeake, VA 23320-5208 | 2020-11-08 |
| 1013956549 | Jennifer Lynn Kelso | Emergency Medicine | 1918 Randolph Rd, Suite 175, Charlotte, NC 28207-1100 | 2006-06-06 |
| Street Address |
11020 19TH AVE SE |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-5155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962486845 | Dee Marie Foreman | Pharmacist | 11020 19th Ave Se, Everett, WA 98208-5155 | 2005-12-03 |
| 1831523372 | Debra Denise Redman | Pharmacist | 11020 19th Ave Se, Everett, WA 98208-5155 | 2013-08-31 |
| 1487766358 | The Bartell Drug Co | Pharmacy | 11020 19th Ave Se, Everett, WA 98208-5155 | 2006-08-31 |
| 1588607535 | Jodi Lee Wiggins | Pharmacy Technician | 11020 19th Ave Se, Everett, WA 98208-5155 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710349931 | Ali Al-salman | Pharmacy Technician | 1321 Hemlock St, Everett, WA 98201-1813 | 2016-03-26 |
| 1720230246 | Chun Hu | Pharmacy Technician | 12517 44th Dr Se, Everett, WA 98208-9003 | 2008-10-15 |
| 1124136551 | James Michael Vidamo | Pharmacy Technician | 5006 132nd St Se, Everett, WA 98208 | 2006-08-27 |
| 1871570432 | Judy Marie Davick | Pharmacy Technician | 11012 19th Ave Se, Everett, WA 98208-5155 | 2005-12-26 |
| 1295710101 | Valerie Yvette Holmes | Pharmacy Technician | 2102 Bedal Ln, Everett, WA 98208-2439 | 2005-12-13 |
| 1093799470 | Tanya Ann Kellenberger | Pharmacy Technician | 2810 130th Pl Se, Everett, WA 98208-6747 | 2005-11-30 |
| 1164046256 | Radja Radbert Ringoringo | Pharmacy Technician | 9930 Evergreen Way Ste Z150, Everett, WA 98204-3889 | 2020-06-03 |
| 1619527595 | Katherine Doreen Carpenter | Pharmacy Technician | 1321 Colby Ave, C-wing First Floor, Everett, WA 98201 | 2019-09-12 |
| 1912376138 | Erin Schramm | Pharmacy Technician | 802 134th St Sw, Everett, WA 98204-7314 | 2015-09-17 |
| 1053675439 | Mindy N Collins | Pharmacy Technician | 5006 132nd St Se, Building A, Everett, WA 98208-9517 | 2012-06-29 |
| Find all providers in EVERETT | ||||
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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.