MRS. KELLY FENDLEY (NPI# 1861832628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861832628 |
Entity Type | Individual |
Full Name | MRS. KELLY FENDLEY |
Credential | NP-C |
Practice Address |
162 Hospital Cir Blairsville GA 30512-3101 |
Mailing Address |
190 Hospital Cir Blairsville GA 30512 |
Practice Telephone | 7067453333 |
Mailing Telephone | 7067453333 |
Enumeration Date | 2013-06-26 |
Last Update Date | 2013-06-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN197466 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
162 HOSPITAL CIR |
City | BLAIRSVILLE |
State | GA |
Zip Code | 30512-3101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003456229 | Southeast Eye Group LLC | Optometrist | 17 Hometown Way, Blairsville, GA 30512 | 2020-01-15 |
1902395247 | Pamela Jones | Pharmacist | 207 Highway 515, Blairsville, GA 30512 | 2018-05-02 |
1780095851 | Joshua R Kennedy | Pediatrics | 77 Weaver Rd Ste B, Blairsville, GA 30512 | 2014-05-12 |
1659634889 | Amy Kight | Occupational Therapist | 383 Fox Flds, Blairsville, GA 30512 | 2012-06-22 |
1184986846 | Blair House Dental, LLC | Dentist | 10 Deer Crossing Tr., Blairsville, GA 30512 | 2012-06-08 |
1215221718 | Connie Duncan | Hearing Instrument Specialist | 281c Young Harris Street, Blairsville, GA 30512 | 2011-06-02 |
1407154727 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 10 B Hughes St, Blairsville, GA 30512 | 2011-03-10 |
1114228558 | Ingles Markets Inc | Pharmacy | 207b Highway 515, Blairsville, GA 30512 | 2010-11-16 |
1720300569 | Steven H. Senart | Chiropractor | 215 Blue Ridge Street, Suite E, Blairsville, GA 30512 | 2010-02-22 |
1649407552 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2257 Hwy 515, Blairsville, GA 30512 | 2009-06-18 |
Find all providers in zip 30512 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518945906 | Lucinda A. Fails | Nurse Practitioner | 25 Colony Boulevard, Suite 102, Blairsville, PA 15717-7971 | 2006-01-05 |
1497364954 | Cameron Joel Harper | Nurse Practitioner | 374 Pat Haralson Dr, Blairsville, GA 30512-8409 | 2020-07-29 |
1124689856 | Anita Carol English | Nurse Practitioner | 35 Hospital Rd, Blairsville, GA 30512-3139 | 2019-06-24 |
1972080364 | Melissa Denise Masuicca | Nurse Practitioner | 35 Hospital Rd, Blairsville, GA 30512-3139 | 2018-07-27 |
1841712833 | Melissa Ann Youngblood | Nurse Practitioner | 346 Deep South Farm Rd Ste A, Blairsville, GA 30512-2218 | 2017-07-11 |
1083089023 | Cassie A Morris | Nurse Practitioner | 56 Club Ln, Blairsville, PA 15717-7957 | 2015-12-02 |
1427433945 | Andrea Fowler | Nurse Practitioner | 63 Pleasant Hill Rd, Blairsville, GA 30512-2291 | 2015-07-26 |
1477964450 | Susan Alyce Dressler | Nurse Practitioner | 63 Pleasant Hill Rd, Blairsville, GA 30512-2291 | 2014-05-13 |
1023456183 | Sheila Lynne Whitener | Nurse Practitioner | 162 Hospital Rd, Suite A, Blairsville, GA 30512-3139 | 2013-06-11 |
1811249360 | Rebecca Danielle Snider | Nurse Practitioner | 346 Deep South Farm Rd Ste A, Blairsville, GA 30512-2218 | 2012-10-09 |
Find all providers in BLAIRSVILLE |
City | BLAIRSVILLE |
Zip Code | 30512 |
Please comment or provide details below to improve the information on MRS. KELLY FENDLEY.
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.