MRS. CAROLYN DARLENE KELLEY (NPI# 1831653252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831653252 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN DARLENE KELLEY |
| Credential | CRADC |
| Practice Address |
760 S Kingshighway St Cape Girardeau MO 63703-7630 |
| Practice Telephone | 5733354333 |
| Practice Fax Number | 5733354345 |
| Mailing Telephone | 5733354333 |
| Mailing Fax Number | 5733354345 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2708 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811470974 | Carolyn Sue Kelley | Registered Nurse | 19002 Bug Scuffle Rd, West Fork, AR 72774-2878 | 2018-09-13 |
| 1245362540 | Carolyn Kelley | Physical Therapist | 4165 Sunset Boulevard, Los Angeles, CA 90027 | 2007-03-12 |
| 1255766333 | Carolyn Kelley | Social Worker | 110 Roach St, Georgetown, KY 40324-9393 | 2013-09-09 |
| 1962549584 | Carolyn Kelley | Occupational Therapist | 710 Nw Juniper St, Suite 106, Issaquah, WA 98027-2717 | 2007-01-31 |
| Street Address |
760 S KINGSHIGHWAY ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-7630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537938 | Home Medical Supply of Poplar Bluff, Inc | Durable Medical Equipment & Medical Supplies | 760 S Kingshighway St, Suite L, Cape Girardeau, MO 63703-7630 | 2005-06-10 |
| 1659796084 | Rief Healthcare LLC | Hospice Care, Community Based | 760 S Kingshighway St, Suite E, Cape Girardeau, MO 63703-7630 | 2014-02-21 |
| 1053684910 | Med Plus Staffing L.L.C. | Home Health | 760 S Kingshighway St, Suite E, Cape Girardeau, MO 63703-7630 | 2012-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083913487 | Carmen Renee' Clary | Counselor | 760 S Kingshighway St Ste F, Cape Girardeau, MO 63703-7676 | 2011-03-24 |
| 1801443254 | Leslie Hannah Faith Knott | Counselor | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2019-08-21 |
| 1629532098 | Holly Crader | Counselor | 760 S Kingshighway St Ste F, Cape Girardeau, MO 63703-7676 | 2019-01-30 |
| 1922571058 | Dawn Poston | Counselor | 760 S Kingshighway St Ste F, Cape Girardeau, MO 63703-7676 | 2019-01-11 |
| 1558834689 | Jeff Duane Stephens | Counselor | 760 S Kingshighway St Ste F, Cape Girardeau, MO 63703-7676 | 2019-01-11 |
| 1427529320 | Angelica Yvonne O'neill | Counselor | 760 S Kingshighway St Ste F, Cape Girardeau, MO 63703-7676 | 2018-12-17 |
| 1568885960 | Samantha Faulkner | Counselor | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2014-01-22 |
| 1881017283 | Gina Crowley | Counselor | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2014-01-22 |
| 1669895009 | Lori Chapman | Counselor | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2014-01-21 |
| 1376966713 | Enda Barrett | Counselor | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2014-01-21 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on MRS. CAROLYN DARLENE KELLEY.
| 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.