DR. KEVIN J. KELLEY (NPI# 1093847584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093847584 |
| Entity Type | Individual |
| Full Name | DR. KEVIN J. KELLEY |
| Credential | PH.D. |
| Practice Address |
530 Union Blvd Allentown PA 18109-3230 |
| Practice Telephone | 6104351541 |
| Practice Fax Number | 6104354367 |
| Mailing Telephone | 6104351541 |
| Mailing Fax Number | 6104354367 |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2014-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PS005818L | PA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS005818L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD | 763740 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487194908 | Kevin Kelley | Contractor | 1820 Wightman St # 1, Pittsburgh, PA 15217-1536 | 2017-03-02 |
| 1306249255 | Kevin Kelley | Veterinarian | 2813 Highway 378, Conway, SC 29527-5307 | 2014-10-07 |
| 1750391108 | Kevin Michael Kelley | Physician Assistant | 27a Centennial Dr, Peabody, MA 01960-7901 | 2006-08-08 |
| 1881654697 | Kevin F Kelley Sr. | Physician Assistant | 101 Strauss Ave, Cbirf, 2nd Mef, Indian Head, MD 20640-1542 | 2006-03-24 |
| 1871053447 | Kevin Kelley | Student in an Organized Health Care Education/Training Program | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2019-03-20 |
| 1700394558 | Kevin Kelley | Counselor | 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 | 2018-01-15 |
| 1497142996 | Kevin Kelley | Registered Nurse | 400 Bald Hill Rd, Suite 520, Warwick, RI 02886-1617 | 2015-04-22 |
| 1922493287 | Kevin Kelley | Behavioral Analyst | 1040 Waltham St, Lexington, MA 02421-8033 | 2015-04-03 |
| 1447675129 | Kevin D Kelley | Physical Therapist | 1 Neumann Way, Bldg. 750, Cincinnati, OH 45215-1915 | 2014-03-04 |
| 1508203936 | Kevin A. Kelley | Physical Therapist | 850 43rd Ave Ste 300, Moline, IL 61265-8401 | 2013-05-24 |
| Street Address |
530 UNION BLVD |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18109-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508274101 | Breanna Vitaletti | Counselor | 530 Union Blvd, Allentown, PA 18109-3230 | 2014-07-27 |
| 1003082371 | Catholic Charities of The Diocese of Allentown | Community/Behavioral Health | 530 Union Blvd, Allentown, PA 18109-3230 | 2008-05-06 |
| 1649471640 | Jill H. Pereira | Counselor | 530 Union Blvd, Allentown, PA 18109-3230 | 2007-05-29 |
| 1790992543 | Stefanie Elizabeth Skoniecki | Counselor | 530 Union Blvd, Allentown, PA 18109-3230 | 2007-05-17 |
| 1932224375 | Margaret Elizabeth Cole | Marriage & Family Therapist | 530 Union Blvd, Catholic Charities, Allentown, PA 18109-3230 | 2007-03-21 |
| 1861524332 | Allentown Diocese | Voluntary or Charitable | 530 Union Blvd, Allentown, PA 18109-3230 | 2007-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422759 | Dinamarca Cedeno | Counselor | 406 Hanover Av, Allentown, PA 18109 | 2018-10-12 |
| 1740777937 | St. Luke's Physician Group, Inc. | Family Medicine | 1202 Hanover Ave, Allentown, PA 18109 | 2018-04-13 |
| 1730622010 | Dana Joyce Morgan-buck | Assistant Behavior Analyst | 881 Macron Blvd, Suite 3900, Allentown, PA 18109 | 2016-11-18 |
| 1043562226 | Linda Lucille Getz-phillips | Social Worker | 1530 Hanover Ave, Allentown, PA 18109 | 2012-10-11 |
| 1033442280 | Recovercare, LLC | Durable Medical Equipment & Medical Supplies | 964 Marcon Blvd., Suite 110, Allentown, PA 18109 | 2009-09-04 |
| 1881888394 | Lisa Anne Churinskas-hulit | Social Worker | 1530 Hanover Avenue, Allentown, PA 18109 | 2007-08-29 |
| 1700925104 | Jeffrey Daryl Kindler | Psychologist | 801 E Green St, Kids Peace Bhrs, Allantown, PA 18109 | 2007-02-05 |
| 1912059585 | Kimberly Lynn Bonner | Social Worker | 961 Marcon Blvd, Suite 312, Allentown, PA 18109 | 2007-01-17 |
| 1013066224 | Joseph Barchini | Chiropractor | 771 Hanover Avenue, Allentown, PA 18109 | 2007-01-09 |
| 1700949161 | Glenn R Koch and Associates Inc | Psychiatry & Neurology | 961 Marcon Boulevard, Suite 312, Allentown, PA 18109 | 2006-12-18 |
| Find all providers in zip 18109 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548701832 | Lanaster General Hospital | Psychologist | 2150 Harrisburg Pike Ste 200b, Lancaster, PA 17601-2644 | 2017-03-20 |
| 1295026128 | Sheridan C. Kirkpatrick | Psychologist | 1030 Grandview Rd, Oil City, PA 16301-1227 | 2011-04-26 |
| 1598947038 | Barbara Carol Holder | Psychologist | 2711 West Church Road, Glenside, PA 19038 | 2007-11-27 |
| 1174740211 | Toni Rex | Psychologist | 104 Limekiln Pike, North Wales, PA 19454-1215 | 2007-04-19 |
| 1861873424 | Harmony Sullivan | Psychologist | 801 N Negley Ave, Suite 7, Pittsburgh, PA 15206-1560 | 2015-06-09 |
| 1063686111 | Karen Anita Zelaya-kendall | Psychologist | 1845 Walnut St, Ste 865, Philadelphia, PA 19103-4712 | 2008-04-19 |
| 1790898419 | Frederick James Kier | Psychologist | 7180 Highland Drive, Va Pittsburgh Healthcare System (116 A-h), Pittsburgh, PA 15203 | 2006-08-16 |
| 1477572691 | Suzanne D. Wills | Psychologist | 1001 University Dr, Suite 4, State College, PA 16801-6600 | 2006-07-19 |
| 1225088313 | Upmc St.margaret | Psychologist | 815 Freeport Rd, 100 Med Arts Bldg Suite 105, Pittsburgh, PA 15215-3301 | 2006-05-11 |
| 1487637807 | Holly Ruckdeschel | Psychologist | 1400 Blackhorse Hill Rd, 14a, Coatesville, PA 19320-2040 | 2005-11-21 |
| Find all providers with the same taxonomy | ||||
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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.