KELLEY A KRUG (NPI# 1821082751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821082751 |
| Entity Type | Individual |
| Full Name | KELLEY A KRUG |
| Other Name | KELLEY A BROWN |
| Credential | PA C |
| Practice Address |
3375 N Seminary St Galesburg IL 61401-1251 |
| Practice Telephone | 3093435114 |
| Mailing Telephone | 3093435114 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3375 N SEMINARY ST |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687734 | Tiffany K Pinger | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2019-09-06 |
| 1831757103 | Tracie Leigh Placher | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2019-06-03 |
| 1770147738 | Emily L Dechow | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2019-04-25 |
| 1386142503 | Alivia Renea Derham | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2018-01-23 |
| 1780193110 | Rachel E Lewandowski | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2017-09-28 |
| 1346762101 | Deprince Cardenas | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2017-07-13 |
| 1114467636 | Natalie Fargher | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2017-03-02 |
| 1619328614 | Michelle L. Johnson | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2016-06-30 |
| 1639523921 | Jennifer Plue | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2016-04-22 |
| 1245606276 | Alicia Meinert | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2015-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558981951 | Brett Andrew Eandi | Physician Assistant | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2020-04-26 |
| 1992337000 | Sanburg Emergency Group, P.C. | Physician Assistant | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2020-02-06 |
| 1457823437 | Hannah Mikkalson | Physician Assistant | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2019-01-01 |
| 1629573878 | Brittany S Simmons | Physician Assistant | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2018-03-29 |
| 1922436682 | Jackie Spence | Physician Assistant | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2013-10-16 |
| 1447527882 | Julie A Quam | Physician Assistant | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2011-11-30 |
| 1386972016 | Bethany L Glaser | Physician Assistant | 834 N Seminary St, Suite 402, Galesburg, IL 61401-2852 | 2009-11-18 |
| 1801900121 | Judy J Mitchelson | Physician Assistant | 10310 Miller Dr, Galesburg, MI 49053 | 2006-08-17 |
| 1205820917 | Barbara Jb Clark | Physician Assistant | 834 N Seminary St, Ste 402, Galesburg, IL 61401-2852 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KELLEY A KRUG.
| 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.