KEVIN MICHAEL KELLY


Address: 704 Fairview Rd, Simpsonville, SC 29680-7117
Phone: 8646017010

KEVIN MICHAEL KELLY (NPI# 1083255681) 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) 1083255681
Entity Type Individual
Full Name KEVIN MICHAEL KELLY
Practice Address 704 Fairview Rd
Simpsonville
SC 29680-7117
Mailing Address 1800 Killian Lakes Dr Apt 12107
Columbia
SC 29203-8865
Practice Telephone 8646017010
Enumeration Date 2019-10-04
Last Update Date 2019-10-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 42206 SC Pharmacy Service Providers

Other Providers KEVIN KELLY

NPI Name Taxonomy Address Enumeration
1326528787 Kevin Howard Kelly Marriage & Family Therapist 5272 S Shamrock Cir, Kearns, UT 84118-7007 2018-08-15
1952848525 Kevin Kelly Social Worker 1010 Delafield Rd Rm 1a105, Pittsburgh, PA 15215-1802 2017-01-20
1912300435 Kevin Michael Kelly Occupational Therapist 1287 Cedar Shoals Dr Apt 718, Athens, GA 30605-3596 2014-09-29
1376972943 Kevin Joseph Kelly Nurse Practitioner 117 E North 1st St, Roby, TX 79543-2354 2013-11-05
1801006515 Kevin Michael Kelly Chiropractor 20 Summer St, Rockland, ME 04841-2918 2007-05-23
1184762627 Kevin George Kelly Nurse Practitioner 331 North Ave, Wood Ridge, NJ 07075-2035 2007-02-04
1760597421 Kevin James Kelly Psychologist 2800 Cornerstone Drive, Suite 110, Pagosa Springs, CO 81147 2006-08-20
1619984309 Kevin William Kelly Psychologist 2013 State Street, East Petersburg, PA 17520-1216 2006-08-02
1730116625 Kevin M Kelly Emergency Medicine 310 Greenview Way, Bowling Green, KY 42103-8767 2006-06-27
1801839733 Kevin J Kelly Chiropractor 1 Parkview Blvd, Parlin, NJ 08859-2056 2006-06-14

Office Location

Street Address 704 FAIRVIEW RD
City SIMPSONVILLE
State SC
Zip Code 29680-7117

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235776568 Tribe Dental LLC Dentist 11 Magnolia Cove Dr, Simpsonville, SC 29680 2019-12-05
1255860243 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 704 Fairview Rd., Simpsonville, SC 29680 2017-06-05
1588061998 Wrights Care Services LLC Community/Behavioral Health 504 Boyd Ave, Simpsonville, SC 29680 2014-12-01
1619389590 Nina Christine Mckenzie Speech-Language Pathologist 303 Barrett Chase Dr, Simpsonville, SC 29680 2014-05-27
1275878761 Stepping Stones Therapy Services Speech-Language Pathologist 501 Westbury Way, Simpsonville, SC 29680 2012-12-10
1295085363 Wael D Nasr Pharmacist 698 Fairview Rd., Simpsonville, SC 29680 2012-09-14
1285984831 Courtney Sands Pharmacist 914 West Georgia Road, Simpsonville, SC 29680 2012-09-11
1245589175 Jeegar Patel Pharmacist 914 West Georgia Rd, Simpsonville, SC 29680 2012-09-06
1083847024 Still Waters Therapeutic Massage & Wellness Clinic Massage Therapist 452 North Main St., Six Mile, SC 29680 2009-08-25
1104849314 Victor Paul Lebedovych Dentist 634 Fairview Rd, Building C, Simspnville, SC 29680 2006-07-26
Find all providers in zip 29680

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841813508 Caitlin Sanders Pharmacist 914 W Georgia Rd # Ed, Simpsonville, SC 29680-6214 2020-05-28
1083181291 Jennie Ann Parker Pharmacist 411 Riverdale Rd, Simpsonville, SC 29680-7748 2018-10-25
1477030070 Mena M Melek Pharmacist 115 Sc-14, Simpsonville, SC 29681 2018-07-26
1104363134 Celeste Martin Vaughan Pharmacist 114 Fox Trce, Simpsonville, SC 29680-7000 2017-01-29
1407303936 Christopher Michael Chambers Pharmacist 16208 Hollyhock Dr, Simpsonville, SC 29681-3283 2016-09-01
1790146975 Britney Runyon Pharmacist 23 S Penobscot Ct, Simpsonville, SC 29681-4315 2016-03-15
1912395559 Frank Addo Owusu Pharmacist 68 Magnolia Crest Dr, Simpsonville, SC 29681-3862 2015-01-06
1144620071 Anthony Bonofiglio Pharmacist 107 Chase Woods Ct, Simpsonville, SC 29680-3600 2014-08-28
1306285713 Tommy Martincic Pharmacist 2531 Woodruff Rd, Suite 107, Simpsonville, SC 29681-5465 2013-06-19
1912342254 Malcolm N. Goodwin IIi Pharmacist 205 Coltsfoot Ct, Simpsonville, SC 29680-7223 2013-04-30
Find all providers in SIMPSONVILLE

Competitor

Search similar providers

City SIMPSONVILLE
Zip Code 29680

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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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