HOMER DON KELLY (NPI# 1952587263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952587263 |
| Entity Type | Individual |
| Full Name | HOMER DON KELLY |
| Credential | DVM |
| Practice Address |
4297 Lafayette Street Marianna FL 32446 |
| Practice Telephone | 8505264031 |
| Practice Fax Number | 8505264021 |
| Mailing Telephone | 8505264031 |
| Mailing Fax Number | 8505264021 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 1953 | FL | Other Service Providers |
| Street Address |
4297 LAFAYETTE STREET |
| City | MARIANNA |
| State | FL |
| Zip Code | 32446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054817 | Covenant Home Health Care, LLC | Home Health | 4540 Lafayette Street, Ste. G, Marianna, FL 32446 | 2019-07-11 |
| 1063902930 | Syntha Alvarez | Assistant Behavior Analyst | 3217 Highway 71, Marianna, FL 32446 | 2018-05-15 |
| 1922528926 | Charlotte Allen | Respite Care | 4326 Deering Street, Marianna, FL 32446 | 2017-06-21 |
| 1003352097 | Jonathan Lee | Physical Therapist | 4387 Kelson Ave Apt A, Marianna, FL 32446 | 2017-01-13 |
| 1386003192 | Harold B Parker | Nurse Practitioner | Sunland Center 3700 Williams Drive, Marianna, FL 32446 | 2016-02-22 |
| 1912372756 | John Tyler Ellerbee | Nurse Practitioner | 4215 E Kelson Ave, Marianna, FL 32446 | 2015-12-04 |
| 1902206790 | Jason Williams | Spec/Tech, Cardiovascular | 3625 Fci Road, Marianna, FL 32446 | 2014-08-28 |
| 1336558238 | Rocky Mountain Holdings, LLC | Ambulance | 3689 Industrial Park Dr, Marianna, FL 32446 | 2014-08-05 |
| 1831430826 | Jantzen Wayne Whitehead | Counselor | 2860 Highway 71 N, Suite A, Marianna, FL 32446 | 2013-03-15 |
| 1336498047 | Sharon Lynn Miller | Counselor | 2933 Madison Street, Marianna, FL 32446 | 2012-09-10 |
| Find all providers in zip 32446 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548620727 | Jennifer Lucas | Veterinarian | 9235 Tibet Pointe Cir, Windermere, FL 34786-5632 | 2016-03-01 |
| 1598149676 | Deva Khalsa | Veterinarian | 1560 S Myrtle Ave, Clearwater, FL 33756-2152 | 2015-07-17 |
| 1033599634 | Shinn & Morse Pa | Veterinarian | 1934 S Fiske Blvd, Rockledge, FL 32955-3035 | 2015-06-09 |
| 1003294604 | Micah Bishop | Veterinarian | 10130 Market St, Suite 1, Naples, FL 34112-3444 | 2015-05-14 |
| 1922498153 | Olivia Parwana | Veterinarian | 5001 Overseas Hwy, Marathon, FL 33050-2621 | 2015-01-26 |
| 1750770277 | Moses Senteza Kawalya | Veterinarian | 24416 Sr 54, Lutz, FL 33559-7303 | 2015-01-21 |
| 1972992527 | Nadia Mclean | Veterinarian | 18514 Ambly Lane, Tampa, FL 33647 | 2015-01-21 |
| 1558750562 | James Alexander Thomasson Jr. | Veterinarian | 2600 Haven St, Inverness, FL 34452-9616 | 2015-01-14 |
| 1417354549 | John Peter Pilarczyk | Veterinarian | 1311 Fallowfield Dr, Trinity, FL 34655-7012 | 2014-12-04 |
| 1477950863 | Michael Posner | Veterinarian | 919 Foxpointe Cir, Delray Beach, FL 33445-4313 | 2014-12-01 |
| Find all providers with the same taxonomy | ||||
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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.