KELLY KNEPPER KING (NPI# 1992362305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992362305 |
| Entity Type | Individual |
| Full Name | KELLY KNEPPER KING |
| Other Name | KELLY DIANA KNEPPER |
| Credential | PA |
| Practice Address |
1490 Williamsboro St Oxford NC 27565-3498 |
| Mailing Address |
212 N Duke St Apt 215 Durham NC 27701-5006 |
| Practice Telephone | 9197295742 |
| Mailing Telephone | 4125195946 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-08695 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023302718 | Kelly King | Physical Therapy Assistant | 2116 Sweet Gum Dr, Jonesboro, AR 72401-3603 | 2011-05-31 |
| 1801122403 | Kelly B King | Physical Therapist | 406 Cook Ct, Hopkinsville, KY 42240-8714 | 2009-11-02 |
| 1235327883 | Kelly Marie King | Physician Assistant | 13013 Sw Caddy Pl, Tigard, OR 97223-2892 | 2007-10-09 |
| 1558469106 | Kelly King | Internal Medicine | 751 Horizon Ct, Suite 202, Grand Junction, CO 81506-8733 | 2006-09-20 |
| 1699709204 | Kelly L King | Physical Therapist | 309 Highway 641 N, Camden, TN 38320-3011 | 2006-07-10 |
| 1114998606 | Kelly Ennix King | Internal Medicine | 6901 Simmons Loop, 4th Floor, Riverview, FL 33578-9498 | 2006-02-01 |
| 1659355410 | Kelly Ann King | Internal Medicine | 1835 Oddie Blvd, Sparks, NV 89431-3559 | 2005-12-05 |
| 1063049062 | Kelly King | Student in an Organized Health Care Education/Training Program | 272 Congress St, Portland, ME 04101-3637 | 2020-03-27 |
| 1811527823 | Kelly King | Behavioral Analyst | 1000 Plantation Rd Ste D, Thibodaux, LA 70301-4264 | 2020-01-17 |
| 1154981496 | Kelly King | Nurse Practitioner | 35 Memorial Dr, Pinehurst, NC 28374-8708 | 2019-06-18 |
| Street Address |
1490 WILLIAMSBORO ST |
| City | OXFORD |
| State | NC |
| Zip Code | 27565-3498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124679204 | Hannah Fenn | Nurse Practitioner | 1490 Williamsboro St, Oxford, NC 27565-3498 | 2019-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1528536059 | Bridget Shouse Clark | Social Worker | 6271 Horner Siding Rd, Oxford, NC 27565 | 2018-11-02 |
| 1972038495 | Brittany Adams | Pharmacist | 215 Williamsboro Street, Oxford, NC 27565 | 2017-04-21 |
| 1487199568 | Duke University Affiliated Physicians, Inc. | Family Medicine | 1490 Williamsboro St., Oxford, NC 27565 | 2016-12-29 |
| 1801343819 | Four County Orthopedics Pa | Orthopaedic Surgery | 103 Professional Park Drive, Suite C, Oxford, NC 27565 | 2016-09-07 |
| 1548644842 | Drake Frazier and Mcneal, Dds, Pa | Dentist | 115 Williamsboro St., Oxford, NC 27565 | 2015-07-16 |
| 1982082251 | Colleen Moore | Pharmacist | 700 B Hillsboro St, Oxford, NC 27565 | 2015-05-07 |
| 1073753497 | Yashica Yvonne Ruffin | Family Medicine | 1015 Lewis Street, Oxford, NC 27565 | 2009-02-25 |
| 1205021631 | Helping Hands Alternative Inc | Home Health | 121 East Mcclanahan Street, Oxford, NC 27565 | 2007-09-10 |
| 1730380874 | Hushang Ghodrat, Dds, Pa | Dentist | 1419 College Street, Suite B, Oxford, NC 27565 | 2007-05-29 |
| Find all providers in zip 27565 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235795832 | Melissa Orzechowski | Physician Assistant | 5 Sullivan Blvd, Oxford, MA 01540-2047 | 2019-05-20 |
| 1871001685 | Maylen Musgrove Brady | Physician Assistant | 1801 Jackson Ave W Ste B104, Oxford, MS 38655-4461 | 2018-01-15 |
| 1174078059 | Sarah Ducharme | Physician Assistant | 78 Sutton Ave, Oxford, MA 01540-1813 | 2016-08-19 |
| 1649682832 | Cari Ritter | Physician Assistant | Cty Rd G & Elk Ave, Oxford, WI 53952 | 2014-05-22 |
| 1689214819 | Raheen Bush | Physician Assistant | 10840 N Us Highway 301, Oxford, FL 34484-3558 | 2020-01-15 |
| 1104478395 | Meagan Leigh Fana | Physician Assistant | 107 E Mcclanahan St, Oxford, NC 27565-2919 | 2019-07-09 |
| 1841859196 | Karlee Shagena | Physician Assistant | 385 N Lapeer Rd, Oxford, MI 48371-3610 | 2019-06-11 |
| 1689142259 | Kendra Nicole Wilson | Physician Assistant | 10840 N Us Highway 301, Oxford, FL 34484 | 2018-11-12 |
| 1427541697 | Allison S Cady | Physician Assistant | 107 E Mcclanahan St, Oxford, NC 27565-2919 | 2018-06-12 |
| 1376096107 | Allison O Granger | Physician Assistant | 1419 Hamric Dr E, Suite 101, Oxford, AL 36203-2173 | 2016-07-28 |
| Find all providers in OXFORD | ||||
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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.