MRS. KELLY KATHLEEN LUTHER


Address: 1630 N Atherton St, State College, PA 16803-1416
Phone: 8142381279

MRS. KELLY KATHLEEN LUTHER (NPI# 1003210758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003210758
Entity Type Individual
Full Name MRS. KELLY KATHLEEN LUTHER
Other Name MISS KELLY KATHLEEN O'DONOVAN
Credential PA-C
Practice Address 1630 N Atherton St
State College
PA 16803-1416
Mailing Address 100 N Academy Ave
Danville
PA 17822-4903
Practice Telephone 8142381279
Practice Fax Number 8142381929
Mailing Telephone 5702716144
Mailing Fax Number 5702716578
Enumeration Date 2014-10-09
Last Update Date 2020-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant MA056994 PA Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant OA003347 PA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
MA056994 PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY LUTHER

NPI Name Taxonomy Address Enumeration
1720481740 Kelly Luther Occupational Therapist 1628 Attilburgh Blvd, West Melbourne, FL 32904-6465 2014-10-04
1164753935 Kelly M Luther Counselor 24 Clay St, Martinsville, VA 24112-2810 2010-01-19

Office Location

Street Address 1630 N ATHERTON ST
City STATE COLLEGE
State PA
Zip Code 16803-1416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861824492 Joyce R Kantner Registered Nurse 1630 N Atherton St, State College, PA 16803-1416 2013-08-06
1649637521 Morgan T Brown Physician Assistant 1630 N Atherton St, State College, PA 16803-1416 2016-01-22
1154787893 Lindsay Marie Hoffman General Practice 1630 N Atherton St, Best Buy Plaza, State College, PA 16803-1416 2016-01-11
1063849032 Meredith Constance Galt Physician Assistant 1630 N Atherton St, State College, PA 16803-1416 2013-10-04
1447686654 Geisinger Clinic Physician Assistant 1630 N Atherton St, State College, PA 16803-1416 2013-09-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346851581 Tammy Lynn Terosky Massage Therapist 2134 Sandy Drive, Suite 6, State College, PA 16803 2020-08-12
1548748973 Molly Gomez Occupational Therapist 260 Lions Hill Road, State College, PA 16803 2018-07-28
1568981827 David Scott Kautz Pharmacist 1665 North Atherton Place, State College, PA 16803 2017-09-18
1245751023 Zenovia Tarmohamed Student in an Organized Health Care Education/Training Program 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 2017-06-30
1407205362 Alka Sood Student in an Organized Health Care Education/Training Program 1850 E. Park Avenue, State College, PA 16803 2016-06-10
1588018766 Daniel Frankel Student in an Organized Health Care Education/Training Program 1850 East Park Avenue, Suite 207, State College, PA 16803 2016-04-14
1154791903 Megan Widener Physician Assistant 2520 Green Tech Dr., Ste. D, State College, PA 16803 2015-10-05
1114301330 Phuong Tran Courtney Physician Assistant 1613 North Atherton Street, Suite B, State College, PA 16803 2015-07-17
1164806840 Amit Thatte Student in an Organized Health Care Education/Training Program 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 2015-07-13
1245588946 Phoenix Rehabilitation and Health Services, Inc. Chiropractor 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 2012-08-28
Find all providers in zip 16803

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154791903 Megan Widener Physician Assistant 2520 Green Tech Dr., Ste. D, State College, PA 16803 2015-10-05
1114301330 Phuong Tran Courtney Physician Assistant 1613 North Atherton Street, Suite B, State College, PA 16803 2015-07-17
1740685858 Mallory L. Miller Physician Assistant 100 Radnor Rd Ste 101, State College, PA 16801 2014-10-31
1114100344 Kimberly Johnson Physician Assistant 1850 E Park Ave Ste 103, Cema, Er, State College, PA 16803-6706 2007-12-11
1184778045 Krista L. Sharer Physician Assistant 1630 North Atherton St., State College, PA 17822-5622 2007-01-22
1427077197 Nathaniel L. Pozniak Physician Assistant 1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 2006-07-19
1548212970 Geisinger Clinic Physician Assistant 2520 Green Tech Drive, Ste D, State College, PA 16803 2006-05-16
1528019056 Geisinger Clinic Physician Assistant 200 Scenery Drive, State College, PA 16801 2006-05-12
1205824075 Victoria D Case Physician Assistant 2121 Old Gatesburg Rd, Suite 100, State College, PA 16803-2290 2005-10-06
1194725812 Scott E Butler Physician Assistant 1700 Old Gatesburg Rd, Ste 100, State College, PA 16803-2276 2005-07-22
Find all providers in STATE COLLEGE

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City STATE COLLEGE
Zip Code 16803

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Dataset Information

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.

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