KELLIE ANNE HANSEL (NPI# 1952371320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952371320 |
| Entity Type | Individual |
| Full Name | KELLIE ANNE HANSEL |
| Credential | PA-C |
| Practice Address |
509 2nd Ave South Charleston WV 25303-1310 |
| Practice Telephone | 3047203555 |
| Practice Fax Number | 3047203556 |
| Mailing Telephone | 3047203555 |
| Mailing Fax Number | 3047203556 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 1080 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1080 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
509 2ND AVE |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25303-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415282 | William L. Tanzey II | Counselor | 509 2nd Ave, South Charleston, WV 25303-1310 | 2020-10-20 |
| 1831573070 | Rachel P. Brill | Nurse Practitioner | 509 2nd Ave, South Charleston, WV 25303-1310 | 2015-07-17 |
| 1033525159 | Amanda Whaley | Family Medicine | 509 2nd Ave, South Charleston, WV 25303-1310 | 2014-07-09 |
| 1770885386 | Kelley Alina Whoolery | Physician Assistant | 509 2nd Ave, South Charleston, WV 25303-1310 | 2010-12-02 |
| 1902137177 | Nancy Chandler | Internal Medicine | 509 2nd Ave, South Charleston, WV 25303-1310 | 2010-01-27 |
| 1174686463 | Family Health Associates of The Kanawha Valley, Pllc | Family Medicine | 509 2nd Ave, South Charleston, WV 25303-1310 | 2006-12-18 |
| 1356307243 | Tasha Marie Elswick | Physician Assistant | 509 2nd Ave, South Charleston, WV 25303-1310 | 2006-04-21 |
| 1578526943 | Elizabeth Kristi Hensley | Family Medicine | 509 2nd Ave, South Charleston, WV 25303-1310 | 2006-04-07 |
| 1376505206 | Julie Ann Detemple | Family Medicine | 509 2nd Ave, South Charleston, WV 25303-1310 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588009 | Shirley Ann Womack | Technician | 131 6th Ave. Apt.#305, South Charleston, WV 25303 | 2020-11-04 |
| 1407350713 | Special Touch Nursing Services, Inc. | In Home Supportive Care | 325 4th Ave Ste 1, South Charleston, WV 25303 | 2018-03-21 |
| 1003213471 | Neveah Health & Wellness Center, Pllc | Family Medicine | 538 3rd Avenue, South Charleston, WV 25303 | 2014-12-01 |
| 1760810444 | Martin, Dds Pllc | Dentist | 140 7th Ave, South Charlestown, WV 25303 | 2013-10-16 |
| 1053594267 | Mary Elizabeth Taylor | Specialist | 117 7th Avenue, South Charleston, WV 25303 | 2007-12-11 |
| 1093937633 | Loved Ones In Home Care | Home Health | 144 7th Ave, South Charleston, WV 25303 | 2007-05-03 |
| 1477643302 | William V. Jordan | Chiropractor | 411 D. Street, South Charleston, WV 25303 | 2006-10-13 |
| 1699864793 | Debora Lynn Wells | Counselor | 1418a Maccorkle Avenue Sw, Charleston, WV 25303 | 2006-10-12 |
| 1457443830 | Special Touch Nursing Services, Inc. | Home Health | 325 Fourth Ave, Suite #1, South Charleston, WV 25303 | 2006-09-29 |
| 1275625964 | Bryan Scott Eder | Dentist | 71 Maccorkle Ave Sw, South Charleston, WV 25303 | 2006-09-29 |
| Find all providers in zip 25303 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
| 1407006323 | Connie Fay Dorfner | Physician Assistant | 18 River Walk Mall, South Charleston, WV 25303-1026 | 2008-09-28 |
| 1972609550 | Anthony B Knell | Physician Assistant | 500 Poplar St Ste 301, South Charleston, WV 25309-1473 | 2006-09-15 |
| 1639100266 | Kristine K Agnew | Physician Assistant | 4607 Maccorkle Ave Sw Ste 206, South Charleston, WV 25309-1364 | 2006-07-05 |
| 1407850332 | Brandy Huss Boyd | Physician Assistant | 215 Southern Woods Dr, South Charleston, WV 25309-8692 | 2005-06-09 |
| 1215491105 | Kelsey Dawn Mathis | Physician Assistant | 401 Division St Ste 306, South Charleston, WV 25309-1455 | 2019-01-25 |
| 1477047314 | Holli Lucia Dalton | Physician Assistant | 4610 Kanawha Ave Sw Ste 200, South Charleston, WV 25309-1367 | 2018-06-14 |
| 1821519398 | Erika B. Saunders | Physician Assistant | 4610 Kanawha Ave Sw Ste 402, South Charleston, WV 25309 | 2017-07-05 |
| 1184014128 | Alice Stanley | Physician Assistant | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2015-01-29 |
| 1295170587 | Katherine Elizabeth Boggs | Physician Assistant | 4619 Kanawha Avenue Sw, South Charleston, WV 25309 | 2013-05-01 |
| Find all providers in SOUTH CHARLESTON | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25303 |
Please comment or provide details below to improve the information on KELLIE ANNE HANSEL.
| 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.