KELLI HOLLINGSWORTH


Address: 1420 3rd St Sw Ste 1b, Roanoke, VA 24016-5205
Phone: 5406853835

KELLI HOLLINGSWORTH (NPI# 1053657247) 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) 1053657247
Entity Type Individual
Full Name KELLI HOLLINGSWORTH
Credential RDMS
Practice Address 1420 3rd St Sw Ste 1b
Roanoke
VA 24016-5205
Mailing Address 1149 Branch Hill Rd
Vinton
VA 24179-5397
Practice Telephone 5406853835
Mailing Telephone 5406853835
Enumeration Date 2012-12-17
Last Update Date 2012-12-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471S1302X Radiologic Technologist
Specialization: Sonography
133410 Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 1420 3RD ST SW STE 1B
City ROANOKE
State VA
Zip Code 24016-5205

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1801305818 Rena Lee Daye Driver 10 12th St. Sw, Roanoke, VA 24016 2017-09-21
1053841965 Christin Elledge Clark Nurse Practitioner 1234 Franklin Road, Roanoke, VA 24016 2017-06-13
1235685884 Helen Franck Physical Therapist 650 North Jefferson Street, Roanoke, VA 24016 2016-09-01
1457710238 Frances Marie Gaeta Social Worker 360 Campbell Ave, Roanoke, VA 24016 2016-02-22
1982073292 Sophie Mench Tranmer Physical Therapist 1421 Third St. Sw, Roanoke, VA 24016 2015-09-16
1982008181 National Counseling Group, Inc Psychiatry & Neurology 20 Walnut Avenue, Roanoke, VA 24016 2014-10-17
1366858342 National Counseling Group, Inc Psychiatry & Neurology 16 Walnut Avenue, Roanoke, VA 24016 2014-07-10
1427320878 Kristen L. Jagger Physical Medicine & Rehabilitation 1015 First Street Sw Suite 2, Roanoke, VA 24016 2012-02-01
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Taxonomy Information

Taxonomy Code 2471S1302X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Sonography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962779587 Ultrasound Scanning Services, Inc. Radiologic Technologist 2900 Young Dr, Oakton, VA 22124-1452 2011-11-28
1336326776 Shana Joy Hill Radiologic Technologist 2516 Belmont Terrace, 2h, Fredericksburg, VA 22401 2008-01-29
1699876706 Bistate Diagnostic Radiologic Technologist Rr2 Box 26 Riverbend Est, Bluefield, VA 24605-0784 2006-09-25
1063820710 Melissa Wagner Radiologic Technologist 1970 Roanoke Blvd, Salem, VA 24153-6404 2014-07-25
1891983953 Fairfax Ob-gyn Associates, Inc. Radiologic Technologist 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033-1710 2007-10-13
1720272909 Rodolfo Alain Morera Radiologic Technologist 2300 Opitz Blvd, Woodbridge, VA 22191-3311 2007-08-30

Competitor

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City ROANOKE
Zip Code 24016

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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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