PAULA MAE KELSOR (NPI# 1902824766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902824766 |
| Entity Type | Individual |
| Full Name | PAULA MAE KELSOR |
| Credential | R |
| Practice Address |
1699 S 14th St Ste 16 Fernandina Beach FL 32034-1963 |
| Mailing Address |
1548 Golf Forest Dr Jacksonville FL 32208-6626 |
| Practice Telephone | 9044917700 |
| Practice Fax Number | 9044917701 |
| Mailing Telephone | 9047668956 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 63980 | FL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1699 S 14TH ST STE 16 |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-1963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366477978 | Dawn Jenkins-moree | Radiologic Technologist | 1699 S 14th St, Suite 16, Fernandina Beach, FL 32034-1963 | 2006-07-11 |
| 1447750690 | Robert Thomas Wulterkens | Physical Therapist | 1699 S 14th St, Fernandina Beach, FL 32034-1963 | 2018-02-14 |
| 1841663937 | William Dean Farnsworth | Hearing Instrument Specialist | 1699 S 14th St, Suite 15, Fernandina Beach, FL 32034-1963 | 2015-11-11 |
| 1417276510 | Suzi Willis Ring | Radiologic Technologist | 1699 S 14th St, Ste 16, Fernandina Beach, FL 32034-1963 | 2010-05-28 |
| 1619122405 | Karen E English | Radiologic Technologist | 1699 S 14th St, Suite 16, Fernandina Beach, FL 32034-1963 | 2008-11-21 |
| 1740389212 | James Michael Kostrzewski | Radiologic Technologist | 1699 S 14th St, Suite 16, Fernandina Beach, FL 32034-1963 | 2006-09-21 |
| 1619992443 | Helen Orieanna Harding | Radiologic Technologist | 1699 S 14th St, Fernandina Beach, FL 32034-1963 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366477978 | Dawn Jenkins-moree | Radiologic Technologist | 1699 S 14th St, Suite 16, Fernandina Beach, FL 32034-1963 | 2006-07-11 |
| 1881024495 | Robert Parsons | Radiologic Technologist | 1699 S 14th St Ste 16, Fernandina Beach, FL 32034-1965 | 2013-11-18 |
| 1619122405 | Karen E English | Radiologic Technologist | 1699 S 14th St, Suite 16, Fernandina Beach, FL 32034-1963 | 2008-11-21 |
| 1740389212 | James Michael Kostrzewski | Radiologic Technologist | 1699 S 14th St, Suite 16, Fernandina Beach, FL 32034-1963 | 2006-09-21 |
| 1619992443 | Helen Orieanna Harding | Radiologic Technologist | 1699 S 14th St, Fernandina Beach, FL 32034-1963 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672540 | All Injury & Diagnostic Clinic LLC | Radiologic Technologist | 125 Mason Ave Ste A, Daytona Beach, FL 32117-5017 | 2019-01-07 |
| 1134675036 | Luis Raul Rodriguez | Radiologic Technologist | 9056 Sw 148th Ct, Miami, FL 33196-4119 | 2016-08-30 |
| 1003362211 | Jeanette Christine Gillespie | Radiologic Technologist | 1357 Hillside Dr., Tarpon Springs, FL 34689-2011 | 2016-08-28 |
| 1366996670 | Jennifer Tzigos | Radiologic Technologist | 2586 Windwood Dr, Clearwater, FL 33763-1254 | 2016-08-04 |
| 1033566112 | Lori Ganim | Radiologic Technologist | 10000 Bay Pines Blvd North, St Petersburg, FL 33708 | 2016-05-19 |
| 1629432695 | Emmanuel Jose | Radiologic Technologist | 1489 N Military Trl Ste 217, West Palm Beach, FL 33409-6057 | 2016-04-06 |
| 1942672860 | Julia Mcdaniel | Radiologic Technologist | 1420 Lantry Ct, Orlando, FL 32804-1220 | 2015-10-30 |
| 1548638521 | Regional Medical Imaging, Inc | Radiologic Technologist | 7475 Nw 4th St, Plantation, FL 33317-2227 | 2015-09-09 |
| 1750764387 | Jennifer Lynn Howell | Radiologic Technologist | 5901 Broken Sound Parkway #450, Boca Raton, FL 33487-2787 | 2015-07-01 |
| 1164817367 | Gang Qiu | Radiologic Technologist | 8090 Atlantic Blvd Apt G92, Jacksonville, FL 32211-8573 | 2015-04-03 |
| Find all providers with the same taxonomy | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
Please comment or provide details below to improve the information on PAULA MAE KELSOR.
| 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.