KELLY K HAND


Address: 665 E Lake Rd, Carbondale, IL 62901-5347
Phone: 6184574900

KELLY K HAND (NPI# 1851502421) 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) 1851502421
Entity Type Individual
Full Name KELLY K HAND
Credential PA
Practice Address 665 E Lake Rd
Carbondale
IL 62901-5347
Mailing Address Po Box 1268
Murphysboro
IL 62966-1268
Practice Telephone 6184574900
Practice Fax Number 6184574600
Mailing Telephone 6184574900
Mailing Fax Number 6184574600
Enumeration Date 2007-05-25
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IL HEALTH ALLIANCE NUMBER 085378 01

Other Providers KELLY HAND

NPI Name Taxonomy Address Enumeration
1871035329 Kelly Hand Behavioral Analyst 510 Whispering Wind Dr, 110, Tracy, CA 95377-8119 2016-11-15

Office Location

Street Address 665 E LAKE RD
City CARBONDALE
State IL
Zip Code 62901-5347

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558961268 Gerad Aaron Harsy Pharmacist Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 2020-10-30
1437708674 Board of Trustees of Southern Illinois University Clinic/Center 300 W Oak Street, Carbondale, IL 62901 2019-09-10
1306317383 Rachael O Johnson Nurse Practitioner 404 S. Lewis Ln, Carbondale, IL 62901 2018-12-17
1740795194 Megan Marie Zimmerman Nurse Practitioner 1100 W Diann Ln., Carbondale, IL 62901 2017-12-07
1295244242 Amy Elizabeth Prudencio Social Worker 1301 E. Walnut Street, Carbondale, IL 62901 2017-09-21
1740708171 Theresa Aleise Goodin Speech-Language Pathologist 1301 East Walnut Street, Carbondale, IL 62901 2017-09-06
1144762527 Kathleen Chwalisz Rigney Psychologist 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 2016-11-16
1285185173 Shawnee Health Service and Development Corp Social Worker 404 S. Lewis Lane, Carbondale, IL 62901 2016-10-17
1437605094 Arielle Greer Nurse's Aide 510 E. Russell St., A, Carbondale, IL 62901 2016-09-01
1518413863 Complete Family Eyecare of Carbondale, PC Optometrist 1241 East Walnut Street, Carbondale, IL 62901 2016-08-28
Find all providers in zip 62901

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
1821618471 Derrik Abell Physician Assistant 11648 Rolling Meadows Ln, Carbondale, IL 62901-0750 2020-04-23
1598277907 Mallory Lindberg Physician Assistant 207 W Jackson St Ste 201, Carbondale, IL 62901-1408 2017-10-26
1790009488 Northeast Physician Housecalls, Inc. Physician Assistant 52 Dundaff St, Carbondale, PA 18407-1879 2010-03-24
1164618633 Rachel Marie Sargent Physician Assistant 600 N. Giant City Rd, Carbondale, IL 62902-6413 2007-09-19
1073729877 Kathleen Ann Dodd Physician Assistant 374 East Grand, Carbondale, IL 62901-6740 2007-05-16
1376680462 Gabriel A Martin Physician Assistant 103 S Washington St, Suite 202, Carbondale, IL 62901-3030 2007-01-30
1649385873 Mary L Brandenburg Physician Assistant 1301 E Walnut St, Carbondale, IL 62901-5004 2006-08-20
1841237120 Patricia A Boudet Physician Assistant 404 S Lewis Ln, Carbondale, IL 62901-3547 2006-06-02
1871542811 Michael Anthony Bryant Physician Assistant 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 2006-05-08
1821055047 Kenneth John Bannon Physician Assistant 111 Salem Avenue, Suite 302, Carbondale, PA 18407-2574 2006-05-01
Find all providers in CARBONDALE

Competitor

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City CARBONDALE
Zip Code 62901

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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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