DR. DAVID BAKER KELLEY (NPI# 1083796478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083796478 |
| Entity Type | Individual |
| Full Name | DR. DAVID BAKER KELLEY |
| Credential | M.D. |
| Practice Address |
408 Lilly Rd Ne Ste C Olympia WA 98506-6954 |
| Practice Telephone | 3604565545 |
| Mailing Telephone | 3604565545 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 00016317 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302277 | David Andrew Kelley I | Pharmacist | 5816 Osage Beach Pkwy Ste 104, Osage Beach, MO 65065-3046 | 2020-10-08 |
| 1598175481 | David Kelley Sr. | Pharmacist | 4475 24th Ave., Fort Gratiot, MI 48059 | 2014-05-01 |
| 1053633305 | David M Kelley | Physical Therapist | 31 Williamstown Road, Lanesboro, MA 01237 | 2010-02-26 |
| 1427121714 | David R Kelley | Urology | 100 Wason Anenue, Suite 120, Springfield, MA 01107-1119 | 2006-11-16 |
| 1184720088 | David J. Kelley | Psychologist | 632 Plank Rd, Suite 209, Clifton Park, NY 12065 | 2006-09-16 |
| 1174565121 | David B Kelley | Psychologist | 1010 Fir Ln, Lockhart, TX 78644-2059 | 2006-06-12 |
| 1750367017 | David W. Kelley | Nurse Anesthetist, Certified Registered | 708 E Marshall St, West Chester, PA 19380-4413 | 2005-12-19 |
| 1447778774 | David C Kelley | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2017-09-07 |
| 1174830368 | David Kelley | Counselor | 17 Masonic St, Rockland, ME 04841-2808 | 2010-09-09 |
| 1417112442 | David M Kelley | Family Medicine | 8348 Washington Ave, Racine, WI 53406-3733 | 2008-07-18 |
| Street Address |
408 LILLY RD NE STE C |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-6954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629308564 | David B. Kelley, M.d., Inc., P.s. | Clinic/Center | 408 Lilly Rd Ne Ste C, Olympia, WA 98506-6954 | 2009-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| 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 |
|---|---|---|---|---|
| 1740898766 | Abx Medical Pllc | Internal Medicine | 2523 Simon Ln Ne, Olympia, WA 98506-3553 | 2020-07-15 |
| 1285108035 | Purcellmdical Pllc | Internal Medicine | 3025 Limited Ln Nw Ste 105, Olympia, WA 98502-2613 | 2019-01-15 |
| 1407261936 | Rebecca March | Internal Medicine | 110 Delphi Rd Nw Ste 101, Olympia, WA 98502-1778 | 2014-06-23 |
| 1730494642 | Fihn Med Group Inc | Internal Medicine | 3701 Pacific Ave Se, Suite 143, Olympia, WA 98501-2124 | 2010-08-16 |
| 1760797674 | Pergam Med Corp | Internal Medicine | 2103 Harrison Ave Nw, Suite 2692, Olympia, WA 98502-2636 | 2010-08-16 |
| 1487969390 | Jd Tauben Corp | Internal Medicine | 3209 Harrison Ave Nw, Suite 181, Olympia, WA 98502-8704 | 2010-08-16 |
| 1912224981 | Jeffery Noel Thompson | Internal Medicine | 626 8th Ave Se, Olympia, WA 98504-0001 | 2010-04-29 |
| 1275863185 | Marc Francis Stern | Internal Medicine | 413 Franklin St Ne, Olympia Union Gospel Mission, Olympia, WA 98501-6946 | 2009-12-28 |
| 1124357652 | Benjamin Medical Pllc | Internal Medicine | 1340 Allegheny Ct Se, Olympia, WA 98503-1905 | 2009-12-11 |
| 1861623548 | Providence Health & Services Wa | Internal Medicine | 1217 Cooper Point Rd Sw, Suite B, Olympia, WA 98502-7206 | 2009-07-29 |
| Find all providers in OLYMPIA | ||||
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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.