KELLY JO CHILDERS


Address: 1010 Devinney Rd, York, SC 29745-2127
Phone: 8036846159

KELLY JO CHILDERS (NPI# 1871148528) 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) 1871148528
Entity Type Individual
Full Name KELLY JO CHILDERS
Credential RN
Practice Address 1010 Devinney Rd
York
SC 29745-2127
Mailing Address 1475 East Liberty Street
P.o. Box 770
York
SC 29745-0770
Practice Telephone 8036846159
Practice Fax Number 8036841916
Mailing Telephone 8036841905
Mailing Fax Number 8036841907
Enumeration Date 2019-08-08
Last Update Date 2019-08-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
205860 SC Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC BOARD OF NURSING 205860 01

Office Location

Street Address 1010 DEVINNEY RD
City YORK
State SC
Zip Code 29745-2127

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982218244 Amanda Sue Hardy Massage Therapist Amanda Hardy, 423 Kelly Rd, York, SC 29745 2020-09-03
1891290573 Deborah Len Carnes Pharmacist 1007 Creekside Medical Dr, York, SC 29745 2018-03-26
1316313810 Fc Midlands York, LLC Assisted Living Facility 40 Ross Cannon Street, York, SC 29745 2015-08-19
1922300508 Walgreens Pharmacy Pharmacist 887 East Liberty Street, York, SC 29745 2010-12-02
1649599747 Sherita Featherstone Davis Counselor 234 Kings Mountain Road, York, SC 29745 2010-05-28
1306099312 Pmc Physician Network, L.L.C. Family Medicine 1795 Devinney Rd, York, SC 29745 2008-11-04
1215077433 Alfred Casburn Johnson Jr. Dentist 1306 Old Fairhope Ct, York, SC 29745 2007-02-07
1104994938 Ph & F Inc Pharmacy 1007 Creekside Medical Drive, York, SC 29745 2006-12-01
1407935315 Nora Sue Roy Social Worker 212 East Jefferson St, York, SC 29745 2006-11-02
1508963927 Bio-medical Applications of South Carolina, Inc. Clinic/Center 1440 Alexander Love Highway, York, SC 29745 2006-09-20
Find all providers in zip 29745

Taxonomy Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740836139 Kellie Elizabeth Baker Registered Nurse 1475 E Liberty St, York, SC 29745-6440 2019-08-13
1770917148 Dale Ferguson Smarr Registered Nurse 18 Spruce Street, York, SC 29745-0770 2013-08-21
1568907079 Callie Clark Billings Registered Nurse 18 Spruce Street, York, SC 29745-0770 2016-12-20
1013341239 Harriett Shuler Kinsey Registered Nurse 18 Spruce Street, York, SC 29745-0770 2013-08-23
1023442241 Elizabeth Broadbent Matthews Registered Nurse 18 Spruce Street, York, SC 29745-0770 2013-08-23
1366876740 Cheri S. Flanagan Registered Nurse 18 Spruce Street, York, SC 29745-0770 2013-08-21
1194159566 Melanie Jones Myers Registered Nurse 18 Spruce Street, York, SC 29745-0770 2013-08-21
1558795922 Helene H Neely Registered Nurse 18 Spruce Street, York, SC 29745-0770 2013-08-21
1538593900 Crystal S Nichols Registered Nurse 18 Spruce Street, York, SC 29745-0770 2013-08-21
1902230386 Jessica Harshaw Faulkner Registered Nurse 18 Spruce Street, York, SC 29745-0770 2013-08-21
Find all providers in YORK

Competitor

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City YORK
Zip Code 29745

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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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