KELLY LEANN KELLEY (NPI# 1972882504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972882504 |
| Entity Type | Individual |
| Full Name | KELLY LEANN KELLEY |
| Credential | FNP |
| Practice Address |
912 W College St Pulaski TN 38478-3630 |
| Mailing Address |
119 Westfield Dr Columbia TN 38401-6517 |
| Practice Telephone | 9314249797 |
| Mailing Telephone | 9312790570 |
| Enumeration Date | 2011-08-13 |
| Last Update Date | 2013-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
16051 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811407430 | Kelly Lynn Kelley | Physical Therapist | 41088 Bayou Segnette Ave, Gonzales, LA 70737-8590 | 2017-10-10 |
| 1245696566 | Kelly Joy Kelley | Behavioral Analyst | 307 Queen Anne Rd, Harwich, MA 02645-2501 | 2016-01-04 |
| 1518165307 | Kelly Rose Kelley | Physical Therapy Assistant | 707 E Prospect Ave, Norfolk, NE 68701-4388 | 2007-07-03 |
| 1194290825 | Kelly Kelley | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-10-09 |
| 1043723059 | Kelly Kelley I | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2017-11-13 |
| 1730544933 | Kelly Kelley | Occupational Therapist | 800 Saguaro Trl, San Juan College Ota Program, Farmington, NM 87401-9632 | 2015-12-15 |
| 1619362134 | Kelly Kelley | Social Worker | 104 S Front Ave, Prestonsburg, KY 41653 | 2015-04-01 |
| 1396091203 | Kelly Winters Kelley | Registered Nurse | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2012-07-28 |
| 1487876264 | Kelly D Kelley | Hearing Instrument Specialist | 3320 Pecan Valley Dr, Suite E., Temple, TX 76502-1569 | 2007-05-03 |
| 1811060924 | Kelly Young Kelley | Social Worker | 1300 N 12th St, Phoenix, AZ 85006-2848 | 2006-11-16 |
| Street Address |
912 W COLLEGE ST |
| City | PULASKI |
| State | TN |
| Zip Code | 38478-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376817536 | Constance Sabrina Long | Physician Assistant | 912 W College St, Pulaski, TN 38478-3630 | 2012-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605250 | Debra Jean Burr | Technician | 1225 Braly Hollow Rd., Pulaski, TN 38478 | 2019-12-02 |
| 1104308006 | Haley Beecham Phillips | Nurse Practitioner | 311 Glendale Dr., Pulaski, TN 38478 | 2018-09-06 |
| 1730499088 | William Harwell Murrey | Family Medicine | 1000 Hicks Cut Rd, Pulaski, TN 38478 | 2010-10-19 |
| 1194993436 | Valerie S. Manning | Speech-Language Pathologist | 933 East College St., Pulaski, TN 38478 | 2008-02-20 |
| 1437360393 | Malcolm A Cox Jr. | Pediatrics | 1487 Milky Way Rd, Pulaski, TN 38478 | 2007-05-24 |
| 1134337025 | James Kenneth Webb | Dentist | 604 East College St, Pulaski, TN 38478 | 2007-05-21 |
| 1619182292 | Dr. John T Mann Dds | Dentist | 601 E College St, Pulaski, TN 38478 | 2007-05-14 |
| 1013138627 | Diane Hoffnagle Coggin | Dietitian, Registered | 209 Cedar Lane, Pulaski, TN 38478 | 2007-05-01 |
| 1710105499 | Amg-hillside LLC | Orthopaedic Surgery | 204 Hillside Drive, Pulaski, TN 38478 | 2007-04-20 |
| 1962628453 | Junipers of The World Inc | Registered Nurse | 1914 Minor Hill Hwy, Pulaski, TN 38478 | 2007-04-17 |
| Find all providers in zip 38478 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104308006 | Haley Beecham Phillips | Nurse Practitioner | 311 Glendale Dr., Pulaski, TN 38478 | 2018-09-06 |
| 1982910758 | Kim E Goldinger | Nurse Practitioner | 625 W Madison St, Pulaski, TN 38478-2611 | 2010-08-31 |
| 1891009627 | Tiffany Ann Sasse | Nurse Practitioner | 980 S Saint Augustine St, Pulaski, WI 54162-9453 | 2010-08-04 |
| 1023231149 | Jody Lee Hipple | Nurse Practitioner | 61 Delano Street, Pulaski, NY 13142 | 2007-04-10 |
| 1477686087 | Wanda G Moore | Nurse Practitioner | 1414 W College St, Pulaski, TN 38478-5202 | 2007-03-13 |
| 1275527376 | Celeste I Carnes | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2005-09-02 |
| 1134124902 | Lisa Ann Weaver | Nurse Practitioner | 104 Ivy Ln, Pulaski, TN 38478-4550 | 2005-06-16 |
| 1588262976 | Molly Katalin Gardner | Nurse Practitioner | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2020-10-16 |
| 1932724366 | Todd C Bryant | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2020-06-11 |
| 1841814332 | Randi Leigh Mcelhaney | Nurse Practitioner | 625 W Madison St, Pulaski, TN 38478-2611 | 2020-06-01 |
| Find all providers in PULASKI | ||||
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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.