KELLY VICTORIA RENNIE (NPI# 1912187097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912187097 |
| Entity Type | Individual |
| Full Name | KELLY VICTORIA RENNIE |
| Credential | M.D. |
| Practice Address |
1201 Washington St E Suite 208 Charleston WV 25301-1834 |
| Practice Telephone | 3043887270 |
| Mailing Telephone | 3043887270 |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2014-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | PGY.1.TUL-SURG | LA | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
26075 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
1201 WASHINGTON ST E SUITE 208 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770524977 | Ryan H. Fitzwater | Urology | 1201 Washington St E, Suite 105, Charleston, WV 25301-1834 | 2006-06-09 |
| 1912204702 | Wvupc-camc Fam Med Surgery Center | Clinic/Center | 1201 Washington St E, Charleston, WV 25301-1834 | 2011-02-15 |
| 1043511801 | Integrated Health Care Providers, Inc. | Clinical Medical Laboratory | 1201 Washington St E, Suite 100, Charleston, WV 25301-1834 | 2010-11-10 |
| 1366694176 | Andrew Michael Jenkins | Nurse Anesthetist, Certified Registered | 1201 Washington St E, Charleston, WV 25301-1834 | 2008-10-13 |
| 1427213636 | John E Campbell | Internal Medicine | 1201 Washington St E, Charleston, WV 25301-1834 | 2008-07-28 |
| 1639370034 | Integrated Health Care Providers, Inc. | Urology | 1201 Washington St E, Suite 105, Charleston, WV 25301-1834 | 2007-05-31 |
| 1568671980 | West Virginia University Medical Corporation Charleston Division | Family Medicine | 1201 Washington St E, Suite 108, Charleston, WV 25301-1834 | 2007-05-22 |
| 1407064132 | West Virginia University Medical Corporation Charleston Division | Clinical Medical Laboratory | 1201 Washington St E, Suite 108, Charleston, WV 25301-1834 | 2007-05-18 |
| 1396964904 | Joshua Mark Lohri | Surgery | 1201 Washington St E, Suite 105, Charleston, WV 25301-1834 | 2007-04-24 |
| 1649397951 | Christopher Miles Terpening | Pharmacist | 1201 Washington St E, Suite 108, Charleston, WV 25301-1834 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912453150 | Maher Matar | Surgery | Musc Department of Surgery-trauma 96 Jonathan Lucas St, Ste 420 Csb Msc 613, Charleston, SC 29425 | 2016-08-28 |
| 1619389335 | John Bowers | Surgery | 9300 Medical Plaza Dr Ste B, Charleston, SC 29406-9334 | 2014-05-29 |
| 1952554891 | University Medical Associates | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1558391383 | Bruce A Crookes | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588182893 | Nexgen Surgical LLC | Surgery | 500 Cherry St, Bluefield, WV 24701-3306 | 2017-09-07 |
| 1265606974 | David A. Mullins, Md Pllc | Surgery | 201 12th Street Ext, Princeton, WV 24740-2329 | 2008-04-15 |
| 1124126529 | Alison Wilson | Surgery | 1 Stadium Drive, Morgantown, WV 26506 | 2006-09-20 |
| City | CHARLESTON |
| Zip Code | 25301 |
Please comment or provide details below to improve the information on KELLY VICTORIA RENNIE.
| 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.