CARLYLE KEELY JR. (NPI# 1780955278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780955278 |
| Entity Type | Individual |
| Full Name | CARLYLE KEELY JR. |
| Credential | RV |
| Practice Address |
3108 Central St Texarkana AR 71854-2918 |
| Practice Telephone | 9037925215 |
| Mailing Telephone | 9037925215 |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | 14087333 | TX | Other Service Providers |
| Street Address |
3108 CENTRAL ST |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750780706 | Sharon Gustafson | Driver | 1401 Spruce St, Texarkana, TX 75501-4329 | 2014-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666849 | Anne Marie Kinchen | Driver | 1548 W 10th St, North Little Rock, AR 72114-3948 | 2020-10-09 |
| 1427682699 | Hassen Hassen | Driver | 3700 S Caraway Rd, Jonesboro, AR 72404-7444 | 2020-02-26 |
| 1154955797 | Aniefiok Jacob | Driver | 3306 Shelby Dr, Jonesboro, AR 72404-0637 | 2020-02-22 |
| 1235762121 | Constance Hall | Driver | 3605 S Holly St, Pine Bluff, AR 71603-6253 | 2020-02-19 |
| 1083259519 | Judy Lynn Nichols | Driver | 2311 W Maddox Rd, Jacksonville, AR 72076-8771 | 2019-11-07 |
| 1386205359 | Lasonjia Denise Blackmon | Driver | 5202 Mulberry Pl, Little Rock, AR 72206-4913 | 2019-06-21 |
| 1487215489 | Calvin E Day | Driver | 10201 Republic Ln, Little Rock, AR 72209-8438 | 2019-06-21 |
| 1245736420 | Denise Hudson | Driver | 1506 S State St, Little Rock, AR 72202-3768 | 2018-04-05 |
| 1740793231 | Lonzell Blackmon | Driver | 10 Roxbury Dr, Little Rock, AR 72209-2133 | 2017-11-07 |
| 1548770811 | John L Musgraves | Driver | 3404 Philco, Blytheville, AR 72315-5176 | 2017-10-02 |
| Find all providers with the same taxonomy | ||||
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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.