KELLY KING MD PLLC (NPI# 1023439932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023439932 |
| Entity Type | Organization |
| Organization Name | KELLY KING MD PLLC |
| Practice Address |
1180 Sharon Way Reno NV 89509-2547 |
| Mailing Address |
Po Box 9930 Reno NV 89507-0930 |
| Practice Telephone | 7753761507 |
| Mailing Telephone | 7753761507 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |
| Authorized Official Name | KELLY ANN KING (CEO/OWNER) |
| Authorized Official Telephone | 7753761507 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 11634 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
1180 SHARON WAY |
| City | RENO |
| State | NV |
| Zip Code | 89509-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
| Find all providers in zip 89509 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336761428 | Greenstone Physicians LLC | Internal Medicine | 280 Island Ave Apt 604, Reno, NV 89501-1802 | 2020-05-12 |
| 1861031569 | Blizz, Inc | Internal Medicine | 14235 Eagle Springs Ct, Reno, NV 89511-6773 | 2019-12-27 |
| 1285150482 | Dixon Medical Associates P.C. | Internal Medicine | 10623 Professional Cir Ste B, Reno, NV 89521-5833 | 2017-08-18 |
| 1326571001 | Kevin Thant Chaung | Internal Medicine | 1155 Mill St Ms W14, Reno, NV 89502-1576 | 2017-04-10 |
| 1215319629 | Alexander Keerthi Mylavarapu | Internal Medicine | 85 Kirman Ave Ste L1, Reno, NV 89502-1339 | 2015-06-22 |
| 1215320304 | Wells Ave Clinic | Internal Medicine | 1255 S Wells Ave, Reno, NV 89502-2504 | 2015-03-12 |
| 1104243062 | Shivani Kumra | Internal Medicine | 1155 Mill Street (w11), Reno, NV 89502-1576 | 2014-03-27 |
| 1487078838 | Kenny De Meirleir | Internal Medicine | 1664 N Virginia St # Ms 0552, Reno, NV 89557-0001 | 2014-02-05 |
| 1780028407 | Thomas Edward Bateman IIi | Internal Medicine | 123 17th Street Brigham Bldg Ms 316, Reno, NV 89557-1521 | 2013-04-24 |
| 1538406400 | Robert Martin Lester | Internal Medicine | 5795 Lausanne Drive, Reno, NV 89511 | 2013-01-11 |
| Find all providers in RENO | ||||
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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.