KELSEY KINGSBOROUGH (NPI# 1851942619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851942619 |
| Entity Type | Individual |
| Full Name | KELSEY KINGSBOROUGH |
| Credential | APRN |
| Practice Address |
340 Kelley Pkwy Mexico MO 65265-3811 |
| Practice Telephone | 5735821234 |
| Mailing Telephone | 6362932388 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2019037091 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9979 Winghaven Blvd Ste 204, O Fallon, MO 633683628 | 6366954554 |
| Street Address |
340 KELLEY PKWY |
| City | MEXICO |
| State | MO |
| Zip Code | 65265-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125552 | Cynthia Mae Mackey | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2005-06-21 |
| 1912517749 | David H Kang | Dentist | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2020-08-06 |
| 1437771789 | Amy N Fuemmeler | Counselor | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2020-05-09 |
| 1013559517 | Kristen Ann Fishback | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-10-16 |
| 1861034381 | Kimberly Mae Kirklin | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-10-16 |
| 1619538923 | Ailene Invencion | Dentist | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-06-26 |
| 1851853923 | Sandra Ann Willis | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-04-05 |
| 1962969667 | Haley Elizabeth Auwarter | Counselor | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-02-28 |
| 1568953057 | Lab One LLC | Clinical Medical Laboratory | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2018-05-21 |
| 1811404973 | Amanda Marie Birkemeier | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2018-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700448685 | Joanna Zidick Mcclarey | Specialist/Technologist | Rehabilitation Services, 711 E Jackson, Mexico, MO 65265 | 2019-07-01 |
| 1053858050 | Glenna Wilson | Social Worker | 2462 Southern Hls, Mexico, MO 65265 | 2017-01-27 |
| 1457601759 | Bruce Warren Garrett | Dentist | 626 Summit, Mexico, MO 65265 | 2012-09-13 |
| 1063775997 | Brandon Jay Glasgow | Physical Therapist | 2759 A S Clark, Mexico, MO 65265 | 2012-06-15 |
| 1407044548 | Missouri Central Physical Therapy, LLC | Specialist | 2759 A South Clark, Mexico, MO 65265 | 2007-10-12 |
| 1194925628 | Curators of The University of Missouri | Orthopaedic Surgery | 515 East Promenade, Mexico, MO 65265 | 2007-07-23 |
| 1740496199 | Scott Simmons | Family Medicine | 1000 Webster Street, Mexico, MO 65265 | 2007-05-15 |
| 1083741664 | Finck & Associates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17079 Audrain County Road 929, Mexico, MO 65265 | 2007-02-28 |
| 1417005893 | Matthew Eugene Hart | Emergency Medicine | 620 E Monroe Street, Mexico, MO 65265 | 2007-01-08 |
| 1144392051 | Corrine M Floyd | Massage Therapist | 713 East Jackson, Mexico, MO 65265 | 2006-11-15 |
| Find all providers in zip 65265 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144573940 | Catherine Teresa Browning | Nurse Practitioner | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2012-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
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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.