MRS. KELLY RENEA BUCHANAN (NPI# 1922307024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922307024 |
| Entity Type | Individual |
| Full Name | MRS. KELLY RENEA BUCHANAN |
| Practice Address |
881 Uss James Madison Rd Naval Submarine Base Kings Bay GA 31547-2531 |
| Mailing Address |
1343 Middle School Rd Kingsland GA 31548-6227 |
| Practice Telephone | 9125734264 |
| Mailing Telephone | 6013237973 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245859099 | Kelly A Buchanan | Homeopath | 2324 Nc 181, Morganton, NC 28655-6714 | 2020-04-12 |
| 1083240055 | Kelly Lynn Buchanan | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2020-03-20 |
| 1477917532 | Kelly Elizabeth Buchanan | Psychiatry & Neurology | 1713 6th Avenue South, Cpm C7, Birmingham, AL 35233 | 2016-04-05 |
| 1508174152 | Kelly Mcgill Buchanan | Speech-Language Pathologist | 29770 Three Notch Road, Suite 201, Charlotte Hall, MD 20622 | 2010-09-16 |
| 1205096583 | Kelly Collins Buchanan | Physician Assistant | 1244 Boylston St, Chestnut Hill, MA 02467-2116 | 2008-06-11 |
| 1083761423 | Kelly Mark Buchanan | Specialist | 900 S 336th St, Federal Way, WA 98003-6311 | 2007-01-05 |
| 1457451577 | Kelly V. Buchanan | Obstetrics & Gynecology | 36001 Euclid Ave Ste C7, Willoughby, OH 44094-4650 | 2006-09-25 |
| Street Address |
881 USS JAMES MADISON RD NAVAL SUBMARINE BASE |
| City | KINGS BAY |
| State | GA |
| Zip Code | 31547-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067337 | Andrea M Thaxton | Pediatrics | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2005-07-14 |
| 1538644612 | Jamie Lynn Hughes | Dental Hygienist | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2018-09-25 |
| 1114432085 | Branch Medical Clinic Kings Bay | Clinic/Center | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2017-12-13 |
| 1811345002 | Karl Yves Grand Pierre | Physician Assistant | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2016-05-27 |
| 1770994253 | Patrick Donnelly | Physician Assistant | 881 Uss James Madison Rd, Naval Branch Health Clinic Kings Bay, Kings Bay, GA 31547-2531 | 2014-05-18 |
| 1063839546 | Melissa Johnson | Registered Nurse | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2014-03-24 |
| 1588955090 | Hillary Constance Smith | Dental Hygienist | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2011-05-02 |
| 1851546535 | Leah Moss | Physician Assistant | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2008-11-24 |
| 1942486139 | Roy Edmond Holder | Military Health Care Provider | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2008-01-17 |
| 1952587222 | Dmaurier Barnhart | Military Health Care Provider | 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 | 2008-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922316785 | D'metric Maudell Moss | Nurse's Aide | 881 Uss James Madison Raod, Naval Submarine Base, Kings Bay, GA 31547 | 2010-09-15 |
| 1023291788 | Jay D Carson | Military Health Care Provider | 1050 Uss Gerogia Ave, Kings Bay, GA 31547 | 2007-12-17 |
| 1568651321 | Westley Michael Durnell | Military Health Care Provider | 580 Uss Mariano G. Vallejo Ave, Nssc Medical, Kings Bay, GA 31547 | 2007-10-17 |
| 1013127497 | Cory Dean Sant | Military Health Care Provider | Uss Rhode Island Ssbn 740 (blue), 1059 Uss Georgia Ave, Kings Bay, GA 31547 | 2007-05-23 |
| 1982760492 | Rufus Benjamin Phillips | Pharmacist | Kingsbay Naval Base, Pharmacy, Kingsbay, GA 31547 | 2006-12-29 |
| 1083626949 | Michael Dennis Lappi | Preventive Medicine | Naval Branch Health Clinic Kings Bay, Kings Bay, GA 31547 | 2006-08-12 |
| 1578592838 | Eric Windsor Larson Sr. | Military Health Care Provider | 580 Uss Mariano G Vallejo Ave, Nssc Medical Kings Bay, Kings Bay, GA 31547 | 2006-06-30 |
| 1104894294 | Cary Grinold | Nurse Practitioner | 881 Uss James Madison Road, Naval Ambulatory Care Center, Kings Bay, GA 31547 | 2006-03-14 |
| 1144429507 | Tony Wayne Lyle | Military Health Care Provider | 1061 Uss Tennessee Ave, Kings Bay, GA 31547 | 2007-07-16 |
| 1962634907 | Shanell Feldergoodman | Pharmacy Technician | 871 Uss James Madison, Saint Marys, GA 31547-2531 | 2009-08-10 |
| Find all providers in zip 31547 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647199 | Breiane Jackson | Pharmacy Technician | 2790 Cobb Pkwy Nw, Kennesaw, GA 30152-3455 | 2020-10-22 |
| 1730791732 | Anita H Smith | Pharmacy Technician | 286 Gibbs St, Homerville, GA 31634-2538 | 2020-08-20 |
| 1134730641 | Meghan Xanthe Baker | Pharmacy Technician | 3530 Wellington Ter, Rex, GA 30273-2361 | 2020-08-10 |
| 1669081352 | Steve Lavon Bell | Pharmacy Technician | 1608 Battlecreek Village Dr, Jonesboro, GA 30236-8530 | 2020-07-28 |
| 1235747650 | Marquitta Becker | Pharmacy Technician | 2917 Red Leaf Ct, Conyers, GA 30094-8028 | 2020-07-22 |
| 1922620228 | Jennifer Lamb | Pharmacy Technician | 175 Pebble Ridge Dr, Covington, GA 30014-8456 | 2020-05-11 |
| 1164073334 | Ebony Jackson | Pharmacy Technician | 145 Emanuel Farm Rd Lot 77, Brunswick, GA 31525-2469 | 2019-09-27 |
| 1023578887 | Kimber Hardy | Pharmacy Technician | 1547 Loco Church Rd, Lincolnton, GA 30817 | 2019-03-20 |
| 1700355989 | Renita D Lofton | Pharmacy Technician | 1371 Kimberly Way Sw Apt 7203, Atlanta, GA 30331-4643 | 2018-11-17 |
| 1083198840 | Michele Eilleen Dews | Pharmacy Technician | 4457 Township Dr # 12a, Oakwood, GA 30566-3299 | 2018-09-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. KELLY RENEA BUCHANAN.
| 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.