MRS. KELLY RAE KUKES (NPI# 1932324209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932324209 |
| Entity Type | Individual |
| Full Name | MRS. KELLY RAE KUKES |
| Credential | M.S. |
| Practice Address |
15 1/2 Colorado Ave Laurel MT 59044-3112 |
| Mailing Address |
2900 Clapper Flat Rd Laurel MT 59044-9417 |
| Practice Telephone | 4066287717 |
| Mailing Telephone | (406) 628-7834 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2017-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1240 | MT | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
1240 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS-LEGACY | 743350 | 01 |
| Street Address |
15 1/2 COLORADO AVE |
| City | LAUREL |
| State | MT |
| Zip Code | 59044-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171270 | Marji Cunningham | Nurse Practitioner | 1403 Hill Crest Ave, N/a, Laurel, MT 59044 | 2020-07-08 |
| 1104992908 | Robert Bruce Vannice | Family Medicine | 319 1st Ave, Laurel, MT 59044 | 2006-11-27 |
| 1376638304 | Sam R Pollock | Dentist | 15 Montana Ave, Laurel, MT 59044 | 2006-10-04 |
| 1932623923 | Timothy Polacheck | Pharmacist | 101 Bernhardt Rd, Laurel, MT 59044 | 2017-08-01 |
| 1700997608 | Jody Lynn Crowl | Dentist | 113 W Main St, Laurel, MT 59044 | 2006-08-31 |
| 1659389500 | Maurer Chiropractic PC | Chiropractor | 113 E Main St, Laurel, MT 59044 | 2006-08-04 |
| 1104152982 | Janeil E Anderson | Counselor | 1000 Rockfork Cir, Laurel, MT 59044-1848 | 2009-10-28 |
| 1245890201 | Angie Mitchell | Home Health | 714 7th Ave, Laurel, MT 59044-1922 | 2019-06-20 |
| 1912225061 | Carla A. Castro | Counselor | 918 2nd Ave, Laurel, MT 59044-2017 | 2010-05-13 |
| 1750339149 | Evergreen At Laurel, L.L.C. | Skilled Nursing Facility | 820 3rd Ave, Laurel, MT 59044-2023 | 2006-05-05 |
| Find all providers in zip 59044 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053231 | All Is Well Therapeutic Services, LLC | Counselor | 3625 Sweetbush Trl, Laurel, MD 20724-2493 | 2020-11-06 |
| 1629678107 | Shamonique Driskell | Counselor | 14625 Baltimore Ave # 817, Laurel, MD 20707-4902 | 2020-10-26 |
| 1821624354 | Radiant Therapy, LLC | Counselor | 14201 Laurel Park Dr Ste 106, Laurel, MD 20707-5203 | 2020-03-16 |
| 1396380762 | Deana Weems | Counselor | 845 N 5th Ave, Laurel, MS 39440-2701 | 2019-11-08 |
| 1043851629 | Lorraine Marie Helferich | Counselor | 14800 4th St Apt 53a, Laurel, MD 20707-3712 | 2019-10-04 |
| 1174081913 | Darrius Humphrey | Counselor | 7625 Wood Lawn Boulevard, Medical Arts Building, Suite Ll50, Laurel, MD 20759 | 2019-03-12 |
| 1235601337 | Jernae Dickens | Counselor | 8602 Otter Creek Rd, Laurel, MD 20724-1984 | 2018-12-30 |
| 1205305786 | Nina Mitchell | Counselor | 196 Ertter Dr Apt 203, Laurel, MD 20724-2121 | 2018-11-14 |
| 1891279220 | Wendi Gordon | Counselor | 7310 Doddington Ct, Laurel, MD 20707-9420 | 2018-09-21 |
| 1194217091 | Matclinic Physicians Practice Group LLC | Counselor | 601 7th St Ste 304, Laurel, MD 20707-4011 | 2018-06-06 |
| Find all providers in LAUREL | ||||
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| 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.