KATHLEEN P KELLY (NPI# 1851365878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851365878 |
| Entity Type | Individual |
| Full Name | KATHLEEN P KELLY |
| Credential | MD |
| Practice Address |
4320 Seminary Road Alexandria VA 22304 |
| Mailing Address |
1300 Piccard Drive Suite 202 Rockville MD 20850-4303 |
| Practice Telephone | 7035043066 |
| Practice Fax Number | 7035043866 |
| Mailing Telephone | 3019217900 |
| Mailing Fax Number | 3019217915 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
0101042375 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335511 | Kathleen Kelly | Social Worker | 1672 S Ocean Ln Apt 155, Fort Lauderdale, FL 33316-3341 | 2020-10-27 |
| 1699226415 | Kathleen Ann Kelly | Clinical Medical Laboratory | David Geffen Medical Ctr Ucla 10833 Le Conte Ave, Mailroom A3-215 Chs, Mailcode 173216, Los Angeles, CA 90095-1732 | 2016-10-17 |
| 1033510359 | Kathleen P Kelly | Licensed Practical Nurse | 25 Rogers Pl, Hyde Park, NY 12538-1112 | 2014-09-05 |
| 1730522418 | Kathleen Kelly | Registered Nurse | 319 Middlesex Rd, Buffalo, NY 14216-3140 | 2013-04-11 |
| 1528328432 | Kathleen Marie Kelly | Behavioral Analyst | 1031 S Crescent Heights Blvd, Los Angeles, CA 90035-2632 | 2012-05-24 |
| 1013241512 | Kathleen Marie Kelly | Psychologist | #1670 Calle Georgina Volga, Urb. Reparto De Diego, San Juan, PR 00926-9998 | 2009-09-30 |
| 1174739882 | Kathleen Petrie Kelly | Physical Therapist | 4 Kildare Walk, Rockaway Point, NY 11697-1708 | 2007-05-16 |
| 1073664710 | Kathleen Lorraine Kelly | Counselor | 1070 W. Horizon Ridge Pkwy., Suite 200, Henderson, NV 89012-6019 | 2007-01-16 |
| 1811062839 | Kathleen Kelly | Nurse Practitioner | 55 Fruit Street Yaw 4b, Boston, MA 02114-2696 | 2006-11-22 |
| 1467455147 | Kathleen A Kelly | Dentist | 44 E Mifflin St, Ste 204, Madison, WI 53703-2895 | 2005-05-24 |
| Street Address |
4320 SEMINARY ROAD |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699762708 | Thomas H Clark | Emergency Medicine | 4320 Seminary Road, Alexandria Hospital, Alexandria, VA 22304 | 2005-10-04 |
| 1699011742 | Rachel Alyson Oken | Nurse Anesthetist, Certified Registered | 4320 Seminary Road, Alexandria, VA 22304-3556 | 2012-12-18 |
| 1083851802 | Jennifer L Boada | Nurse Practitioner | 4320 Seminary Road, Department of Surgery, Alexandria, VA 22304 | 2009-01-15 |
| 1669627899 | Holly L Grunebach | Emergency Medicine | 4320 Seminary Road, Alexandria Hospital, Alexandria, VA 22304 | 2008-12-02 |
| 1811186448 | Kara Barber Chapman | Physician Assistant | 4320 Seminary Road, Alexandria Hospital, Alexandria, VA 22304 | 2007-10-19 |
| 1760521512 | Michael D Mortiere | Physician Assistant | 4320 Seminary Road, Alexandria Hospital, Alexandria, VA 22304 | 2007-02-06 |
| 1326060344 | Justine D Young | Physician Assistant | 4320 Seminary Road, Alexandria Hospital, Alexandria, VA 22304 | 2006-07-25 |
| 1679507503 | Lynette R Sandoval | Physician Assistant | 4320 Seminary Road, Alexandria Hospital, Alexandria, VA 22304 | 2006-07-10 |
| 1487687141 | Ofundem Akoh-arrey Nokuri | Pediatrics | 4320 Seminary Road, Alexandria Hospital, Alexandria, VA 22304 | 2006-07-08 |
| 1477598464 | Darnell M Jones | Physician Assistant | 4320 Seminary Road, Alexandria, VA 22304 | 2006-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197956 | Imane Chedid | Emergency Medicine | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-09-03 |
| 1801363767 | Morgan Stuart Allen | Emergency Medicine | 5855 Bremo Rd Ste 210, Richmond, VA 23226-1922 | 2018-10-30 |
| 1174930705 | Emily Montaigne | Emergency Medicine | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2014-07-15 |
| 1992053482 | Brieter T C | Emergency Medicine | 115 S 15th St, Richmond, VA 23219-4252 | 2012-08-15 |
| 1265758304 | Rashida Halima Woods | Emergency Medicine | 1250 E Marshall St, Dept. of Emergency Medicine, Richmond, VA 23298-5051 | 2010-04-14 |
| 1407017064 | Amy Shah Boutsikaris | Emergency Medicine | 3300 Gallows Rd, Department of Pediatric Emergency Medicine, Falls Church, VA 22042-3307 | 2008-06-17 |
| 1194918185 | Elisabeth Ashley Rogers | Emergency Medicine | 5801 Bremo Rd, Richmond, VA 23226-1907 | 2007-08-22 |
| 1093850869 | William A. Woods | Emergency Medicine | 1215 Lee St, Charlottesville, VA 22908-0001 | 2007-02-20 |
| 1417091406 | Robin L Foster | Emergency Medicine | 1250 E Marshall St, Emergency Medicine, Richmond, VA 23298-5051 | 2007-02-16 |
| 1194806380 | Christopher M Woleben | Emergency Medicine | 1250 E Marshall Street, Emergency Medicine, Richmond, VA 23298-0510 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
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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.