BOBBIE KELLY (NPI# 1750852893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750852893 |
| Entity Type | Individual |
| Full Name | BOBBIE KELLY |
| Practice Address |
3300 Stadium Dr Apt 815 Phenix City AL 36867-8005 |
| Practice Telephone | 3345409589 |
| Mailing Telephone | 3345409589 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
3300 STADIUM DR APT 815 |
| City | PHENIX CITY |
| State | AL |
| Zip Code | 36867-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576986 | Victoria Martinec | Dental Hygienist | 3732 Us Hwy 280, Phenix City, AL 36867 | 2020-04-06 |
| 1255993390 | Alexa Paige Jones | Family Medicine | 3700 Ste A S Railroad St, Phenix City, AL 36867 | 2019-06-28 |
| 1548755150 | David Thompson | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr., Phenix City, AL 36867 | 2018-06-26 |
| 1134613714 | Sarah Uehara Yee | Dentist | 3732 Hwy 280 Bypass, Phenix City, AL 36867 | 2018-06-18 |
| 1770074676 | James L Pridgen IIi | Registered Nurse | 1533 Summerplace Dr, Phenix City, AL 36867 | 2018-05-25 |
| 1598288219 | Rachelle Moliere | Nurse Practitioner | 4402 Riverchase Drive, #4301, Phenix City, AL 36867 | 2017-07-25 |
| 1417477852 | Devin William Collins | Orthopaedic Surgery | 4401 River Chase Drive, Phenix City, AL 36867 | 2017-06-27 |
| 1770003774 | Tabatha Yvette Jones | Registered Nurse | 506 Lee Rd 554, Phenix City, AL 36867 | 2017-06-21 |
| 1134659030 | Jack Clifford Golden Jr. | Pharmacist | 3700 Us Hwy 280/431n, Phenix City, AL 36867 | 2017-06-14 |
| 1386098440 | Mudassar Khan | Orthopaedic Surgery | 4401 Riverchase Dr, Phenix City, AL 36867 | 2016-04-14 |
| Find all providers in zip 36867 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074237 | Brittany Calhoun | Contractor | 723 12th Ct, Phenix City, AL 36867-6639 | 2020-05-14 |
| 1649812645 | Tameka Campbell | Contractor | 114 Blue Spruce Dr, Phenix City, AL 36869-7998 | 2019-10-10 |
| 1093371940 | Meleesa Geathers | Contractor | 8 Clayton Ct, Phenix City, AL 36869-3462 | 2019-05-16 |
| 1962960740 | Latasha A Green | Contractor | 25 Kalin St, Phenix City, AL 36869-3469 | 2019-03-11 |
| 1124586193 | Sheena Janea Morris | Contractor | 1950 Knowles Rd, Phenix City, AL 36869-7139 | 2019-03-07 |
| 1871702399 | Janee Keith | Contractor | 2704 21st Ave, Phenix City, AL 36867-3002 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598386690 | Christina Mary Egan | Contractor | 15 Fast Ln, Seale, AL 36875-4841 | 2020-04-29 |
| 1366085524 | Kimberly Arlisa Morrissette | Contractor | 6288 Letson Farms Dr, Bessemer, AL 35022-7023 | 2019-10-21 |
| 1265073951 | Judy Medley | Contractor | 88 Front Porch Way, New Brockton, AL 36351-4501 | 2019-10-03 |
| 1689215386 | Rico Bobbins | Contractor | 109 New Fort Browder Rd, Eufaula, AL 36027-1027 | 2019-10-03 |
| 1831659176 | Kalima E Rembert | Contractor | 200 Lee Road 2126, Salem, AL 36874-2161 | 2019-03-22 |
| 1649739053 | Kenya Denise Whitehorn | Contractor | 281 Lee Road 2212, Smiths Station, AL 36877-3396 | 2019-03-15 |
| 1811438948 | Sherry Kolodziejczak | Contractor | 2012 Aftonbrae Dr Se, Huntsville, AL 35803-1204 | 2017-03-08 |
| 1750833695 | James Reinhardt | Contractor | 40 White Oak Ln, Tallassee, AL 36078-6834 | 2016-10-26 |
| 1376097527 | Felicia Tramuel | Contractor | 20 Sweetwater Park Loop, Fort Mitchell, AL 36856-5176 | 2016-08-04 |
| 1811345507 | Shuntrell Moultrie | Contractor | 1712 14th Way Sw Apt A, Birmingham, AL 35211-5013 | 2016-06-02 |
| Find all providers with the same taxonomy | ||||
| City | PHENIX CITY |
| Zip Code | 36867 |
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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.