KELLY COOK (NPI# 1053713867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053713867 |
Entity Type | Individual |
Full Name | KELLY COOK |
Credential | RT,CT,RDMS |
Practice Address |
706 W Grove St El Dorado AR 71730-4416 |
Mailing Address |
4014 Calion Hwy El Dorado AR 71730-9447 |
Practice Telephone | 8703101757 |
Mailing Telephone | 8703101757 |
Enumeration Date | 2014-09-23 |
Last Update Date | 2014-09-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
59296 | AR | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134733439 | Kelly C Cook | Student in an Organized Health Care Education/Training Program | 55 500 E, Heber, UT 84032 | 2020-09-03 |
1609173046 | Kelly Jean Cook | Nurse Practitioner | 1501 Trousdale Dr Fl 2, Burlingame, CA 94010-4506 | 2011-02-22 |
1881729812 | Kelly Jorn Cook | Dentist | 3800 W Ray Rd Ste 19, Chandler, AZ 85226-5940 | 2007-02-22 |
1821603978 | Kelly Cook | Student in an Organized Health Care Education/Training Program | 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 | 2020-09-14 |
1851901136 | Kelly Frances Cook | Registered Nurse | 434 Eastland Rd, Berea, OH 44017-1217 | 2020-08-03 |
1912520164 | Kelly S Cook | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-05-22 |
1467018325 | Kelly Cook | Audiologist | 1810 Sw White Birch Cir Ste 104, Ankeny, IA 50023-7226 | 2019-05-16 |
1578076766 | Kelly E Cook | Counselor | 506 E Lancaster Ave, Downingtown, PA 19335-2776 | 2017-11-09 |
1194006692 | Kelly T Cook | Pharmacist | 440 West St, Keene, NH 03431-2453 | 2011-08-30 |
1225323769 | Kelly Cook | Counselor | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2011-06-13 |
Street Address |
706 W GROVE ST |
City | EL DORADO |
State | AR |
Zip Code | 71730-4416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366487811 | South Arkansas Womens Clinic Plc | Obstetrics & Gynecology | 706 W Grove St, El Dorado, AR 71730-4416 | 2006-06-18 |
1932567997 | Malory Watson | Clinical Nurse Specialist | 706 W Grove St, El Dorado, AR 71730-4416 | 2016-02-05 |
1396773735 | Donya Burroughs Watson | Family Medicine | 706 W Grove St, El Dorado, AR 71730-4416 | 2006-06-28 |
1063449692 | John Baxter Ratcliff | Obstetrics & Gynecology | 706 W Grove St, El Dorado, AR 71730-4416 | 2006-06-27 |
1720015373 | John Gregory Booker | Obstetrics & Gynecology | 706 W Grove St, El Dorado, AR 71730-4416 | 2006-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
Find all providers in zip 71730 |
Taxonomy Code | 2471S1302X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275912313 | Leah Olson | Radiologic Technologist | 8000 River Pointe Dr, Apt 2b33, North Little Rock, AR 72113-8099 | 2015-05-21 |
1720368525 | Doris Ann Richie | Radiologic Technologist | 804 E. 12th St., Danville, AR 72833-1029 | 2011-08-24 |
1093956583 | Imaging Associates, LLC | Radiologic Technologist | 180 County Road 710, Jonesboro, AR 72401-8327 | 2009-03-13 |
1427356237 | Whitney Deanne Ruiz | Radiologic Technologist | 716 W Emerson St, Paragould, AR 72450-5924 | 2011-03-02 |
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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.