KELLY ANN MEENAN


Address: 435 Lewis Ave, Meriden, CT 06451-2101
Phone: 2036948911

KELLY ANN MEENAN (NPI# 1831741347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831741347
Entity Type Individual
Full Name KELLY ANN MEENAN
Practice Address 435 Lewis Ave
Meriden
CT 06451-2101
Mailing Address 8 Lenmore Dr
Old Bethpage
NY 11804-1119
Practice Telephone 2036948911
Mailing Telephone 5164773346
Enumeration Date 2019-07-15
Last Update Date 2019-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 435 LEWIS AVE
City MERIDEN
State CT
Zip Code 06451-2101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972595874 Dean John Mariano Anesthesiology 435 Lewis Ave, Suite 101, Meriden, CT 06451-2101 2005-08-17
1700405149 Megan Elizabeth Ganzenmuller Physician Assistant 435 Lewis Ave, Meriden, CT 06451-2101 2020-04-15
1588290613 Isabel Nodiff Physician Assistant 435 Lewis Ave, Meriden, CT 06451-2101 2020-03-20
1396394722 Barbara J Spremullo Nurse Practitioner 435 Lewis Ave, Meriden, CT 06451-2101 2019-09-09
1538715883 Matthew Decaprio Physician Assistant 435 Lewis Ave, Meriden, CT 06451-2101 2019-08-13
1417414038 Max Pianka Nurse Practitioner 435 Lewis Ave, Meriden, CT 06451-2101 2019-03-01
1114482882 Nems Pllc Emergency Medicine 435 Lewis Ave, Meriden, CT 06451-2101 2019-02-06
1023597028 Anthony Joseph Boguslawski Physician Assistant 435 Lewis Ave, Meriden, CT 06451-2101 2018-08-09
1285111443 Melissa Alvarez Registered Nurse 435 Lewis Ave, Meriden, CT 06451-2101 2018-07-20
1831683523 Trisha Kowalski Physician Assistant 435 Lewis Ave, Meriden, CT 06451 2018-06-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225490055 Great Hills LLC Pharmacy 152 Colony St Unit A, Meriden, CT 06451 2016-03-22
1659695344 Dr. Bertolli Od & Associates LLC Optometrist 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 2010-03-24
1205086733 Michelle Lavallee Dagostine Psychiatry & Neurology 455 Lewis Ave., Suite 221, Meriden, CT 06451 2008-09-20
1538212857 Meriden Surgical Supply Inc Prosthetic/Orthotic Supplier 170 West Main Street, Meriden, CT 06451 2007-01-19
1922036920 Lisa M Marvin Smith Nurse Practitioner 26 Womens Way, Meriden, CT 06451 2006-06-29
1235599333 Mcm Dental, LLC Dentist 74 Main Street, Lakewood, CT 06451 2016-03-02
1790035186 Jona Lesage Maloney Music Therapist 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 2012-09-13
1144522160 Community Renewal Team Inc. Case Management 675 Tower Ave, Hartford, CT 06451 2010-11-23
1760681639 Mark Steven Schaner Internal Medicine 435 Lewis Avenue, Meriden, CT 06451 2007-07-12
1043371115 Eugene Robert Bertolli Optometrist 470 Lewis Ave, C/o Sears Optical, Meriden, CT 06451 2006-12-13
Find all providers in zip 06451

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750991303 Lana Chapman Physician Assistant 289 Curtis St Apt 2, Meriden, CT 06450-5910 2020-08-07
1801352133 Nicolas Antico Physician Assistant 90 Cynrose Pl, Meriden, CT 06451-2772 2019-02-12
1043394083 Christina A Plantier Physician Assistant 61 Pomeroy Ave, Meriden, CT 06450-7101 2006-10-25
1700405149 Megan Elizabeth Ganzenmuller Physician Assistant 435 Lewis Ave, Meriden, CT 06451-2101 2020-04-15
1952956211 Sara Frances Boudreau Physician Assistant 816 Broad St Ste 24, Meriden, CT 06450-4350 2019-08-05
1023597028 Anthony Joseph Boguslawski Physician Assistant 435 Lewis Ave, Meriden, CT 06451-2101 2018-08-09
1700372356 Anne Elizabeth Carlson Physician Assistant 816 Broad St, Meriden, CT 06450-4350 2018-07-06
1831683523 Trisha Kowalski Physician Assistant 435 Lewis Ave, Meriden, CT 06451 2018-06-18
1912428202 Brad Petitti Physician Assistant 61 Pomeroy Ave, Meriden, CT 06450-7482 2017-06-28
1962931113 Cassidy Ruocco Physician Assistant 435 Lewis Ave, Meriden, CT 06451-2101 2017-06-09
Find all providers in MERIDEN

Competitor

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City MERIDEN
Zip Code 06451

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Dataset Information

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.

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