MR. KEVIN V. KELLEY (NPI# 1952441982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952441982 |
| Entity Type | Individual |
| Full Name | MR. KEVIN V. KELLEY |
| Credential | BCO |
| Practice Address |
117 S 17th St Suite 1902 Philadelphia PA 19103-5025 |
| Practice Telephone | 2155671377 |
| Practice Fax Number | 2155675314 |
| Mailing Telephone | 2155671377 |
| Mailing Fax Number | 2155675314 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487194908 | Kevin Kelley | Contractor | 1820 Wightman St # 1, Pittsburgh, PA 15217-1536 | 2017-03-02 |
| 1306249255 | Kevin Kelley | Veterinarian | 2813 Highway 378, Conway, SC 29527-5307 | 2014-10-07 |
| 1093847584 | Kevin J. Kelley | Psychologist | 530 Union Blvd, Allentown, PA 18109-3230 | 2007-03-10 |
| 1750391108 | Kevin Michael Kelley | Physician Assistant | 27a Centennial Dr, Peabody, MA 01960-7901 | 2006-08-08 |
| 1881654697 | Kevin F Kelley Sr. | Physician Assistant | 101 Strauss Ave, Cbirf, 2nd Mef, Indian Head, MD 20640-1542 | 2006-03-24 |
| 1871053447 | Kevin Kelley | Student in an Organized Health Care Education/Training Program | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2019-03-20 |
| 1700394558 | Kevin Kelley | Counselor | 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 | 2018-01-15 |
| 1497142996 | Kevin Kelley | Registered Nurse | 400 Bald Hill Rd, Suite 520, Warwick, RI 02886-1617 | 2015-04-22 |
| 1922493287 | Kevin Kelley | Behavioral Analyst | 1040 Waltham St, Lexington, MA 02421-8033 | 2015-04-03 |
| 1447675129 | Kevin D Kelley | Physical Therapist | 1 Neumann Way, Bldg. 750, Cincinnati, OH 45215-1915 | 2014-03-04 |
| Street Address |
117 S 17TH ST SUITE 1902 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-5025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558381251 | Edward A Maitz | Clinical Neuropsychologist | 117 S 17th St, Suite 1700, Philadelphia, PA 19103-5025 | 2006-07-19 |
| 1952514374 | Raul Yankelevich | Family Medicine | 117 S 17th St, Suite 300, Philadelphia, PA 19103-5025 | 2007-05-08 |
| 1326164211 | Linda G. Ziman Dpm, PC | Podiatrist | 117 S 17th St, Philadelphia, PA 19103-5025 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497379879 | Oncora Medical, Inc. | Specialist/Technologist, Other | 2104 Market St Ste 300, Philadelphia, PA 19103-3103 | 2020-06-02 |
| 1518449719 | Tonya Milburn | Specialist/Technologist, Other | 4611 Tackawanna St, Philadelphia, PA 19124-3307 | 2018-09-04 |
| 1942809538 | Terry P Huh | Specialist/Technologist, Other | 3900 Delancey St, Pennvet Hostpial, Philadelphia, PA 19104 | 2020-10-23 |
| 1275903015 | Mylin Diaz | Specialist/Technologist, Other | 7500 Central Ave, Suite 203, Philadelphia, PA 19111-2430 | 2015-10-06 |
| 1306184569 | Neurophys Diagnostics | Specialist/Technologist, Other | 8001 Castor Ave, 338, Philadelphia, PA 19152-2701 | 2013-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700527 | Andrea Beth Morrison | Specialist/Technologist, Other | 500 Charles Ellis Dr Apt 405, Newtown Square, PA 19073-1325 | 2020-05-03 |
| 1699294611 | Fce Consulting, LLC | Specialist/Technologist, Other | 2208 Quarry Dr Ste 203, West Lawn, PA 19609-1158 | 2017-09-11 |
| 1063937381 | Premier Fce | Specialist/Technologist, Other | 2201 Ridgewood Rd Ste 160, Wyomissing, PA 19610-1190 | 2017-08-08 |
| 1215463278 | Kaitlyn Lawrence | Specialist/Technologist, Other | 5776 Limeport Rd, Emmaus, PA 18049-4651 | 2017-05-11 |
| 1780030528 | Melinda Marie Huey | Specialist/Technologist, Other | 420 Buena Vis, Emlenton, PA 16373-9702 | 2016-05-11 |
| 1700240470 | Thor Mataya | Specialist/Technologist, Other | 2612 Linconia Ave, Trevose, PA 19053-6736 | 2016-04-08 |
| 1548663685 | Maria B Rossi | Specialist/Technologist, Other | 1070 Old National Pike # D, Fredericktown, PA 15333-2114 | 2014-10-03 |
| 1659612273 | Andrew George Bukovitz | Specialist/Technologist, Other | University Drive C Vaphs Room Bw207, Pittsburgh, PA 15240 | 2013-03-06 |
| 1902038839 | Paul Lifschutz | Specialist/Technologist, Other | 86 Livery Dr, Churchville, PA 18966-1169 | 2009-08-11 |
| 1760610745 | Nicole Marie Chevront | Specialist/Technologist, Other | 309 Hickory St, Butler, PA 16001-6547 | 2009-06-29 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19103 |
Please comment or provide details below to improve the information on MR. KEVIN V. KELLEY.
| 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.