KRISTIN KELLY (NPI# 1811440704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811440704 |
| Entity Type | Individual |
| Full Name | KRISTIN KELLY |
| Credential | DDS |
| Practice Address |
2074 S 6th St Klamath Falls OR 97601-3372 |
| Mailing Address |
2650 Plumas St Apt 1 Reno NV 89509-8700 |
| Practice Telephone | 5418518110 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10474 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043381270 | Kristin Erin Kelly | Marriage & Family Therapist | 3870 Rosin Ct Ste 140, Sacramento, CA 95834-1647 | 2006-11-10 |
| 1821006438 | Kristin J Kelly | Physical Therapist | 119 N College Ave, Cleveland, TX 77327 | 2006-08-03 |
| 1538683479 | Kristin Kelly | Nurse Practitioner | 505 E Main St, Salisbury, MD 21804-5020 | 2017-08-02 |
| 1568999795 | Kristin Kelly | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2017-05-18 |
| 1508219643 | Kristin Kelly | Counselor | 500 22nd St, Sacramento, CA 95816-3503 | 2016-07-13 |
| 1942613203 | Kristin Marie Kelly | Nurse Practitioner | 3001 Expressway Dr N Ste 104, Islandia, NY 11749-5301 | 2014-06-04 |
| 1922434836 | Kristin Marie Kelly | Physical Therapist | 8481 Holly Rd, Grand Blanc, MI 48439-1812 | 2013-09-24 |
| 1275820177 | Kristin Kelly | Counselor | 835 W Main St, Rochester, NY 14611-2335 | 2011-06-30 |
| 1346564044 | Kristin Kelly | Surgery | 750 East Adams St, Syracuse, NY 13210-2306 | 2010-03-24 |
| 1801056643 | Kristin Melissa Kelly | Registered Nurse | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2008-06-16 |
| Street Address |
2074 S 6TH ST |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336134055 | Randall B Mayberry | Dentist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2005-09-19 |
| 1245830132 | Gabrielle Cornelia | Registered Nurse | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2020-10-29 |
| 1043810930 | Tiffany Nicole Fregoso | Registered Nurse | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2020-10-29 |
| 1538788021 | Rachel Marie Margis | Dentist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2020-04-14 |
| 1255961462 | Hannah Jayne Hayes | Physician Assistant | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2020-01-16 |
| 1912549544 | Roy Robert Babb II | Pharmacist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2019-10-15 |
| 1346882966 | Tyler Dearing | Pharmacist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2019-10-15 |
| 1740836238 | Megan Ashley Mclean | Dentist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2019-08-12 |
| 1518519800 | Erin Welch | Pharmacist | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2019-07-16 |
| 1881164739 | Ralph Emmanuel Taguba | Clinic/Center | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2018-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144605510 | Amy Kendall Drouin, Dmd PC | Dentist | 5708 S 6th St, Klamath Falls, OR 97603-5108 | 2015-07-27 |
| 1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
| 1003224718 | Andrew E Bernhard | Dentist | 2725 S 6th St, Klamath Falls, OR 97603-4603 | 2014-07-25 |
| 1841578408 | Marisa S Fox | Dentist | 4700 S 6th St, Klamath Falls, OR 97603-4959 | 2011-08-01 |
| 1417155425 | Theresa Kay Tucker | Dentist | 2586 Clover St, Klamath Falls, OR 97601-1115 | 2007-07-11 |
| 1942425632 | Kathryn E Nicholson | Dentist | 2650 Washburn Way Unit 240, Klamath Falls, OR 97603-4593 | 2007-04-16 |
| 1265561880 | James Richard Heath IIi | Dentist | 3201 Campus Dr, Dental Clinic, Klamath Falls, OR 97601-8801 | 2007-03-02 |
| 1295861714 | Amy Lou Drouin | Dentist | 5708 South 6th St, Klamath Falls, OR 97603 | 2007-02-26 |
| 1053495754 | Albert Hamilton Wedam | Dentist | 2972 South Sixth Street, Suite C, Klamath Falls, OR 97603 | 2006-10-25 |
| 1548353535 | Jeffrey Brian Mcatee | Dentist | 4509 S 6th Street, Suite 209, Klamath Falls, OR 97603 | 2006-10-02 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
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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.