MR. DAVID CHARLES KELLY JR. (NPI# 1104014299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104014299 |
| Entity Type | Individual |
| Full Name | MR. DAVID CHARLES KELLY JR. |
| Practice Address |
8915 Cherry St Blue Ash OH 45242-7846 |
| Practice Telephone | 9372324496 |
| Mailing Telephone | 9372324496 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
N8861468 | OH | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264760 | David Arnold Kelly | Student in an Organized Health Care Education/Training Program | 417 Ne 1st Ter, Oklahoma City, OK 73104-4056 | 2020-04-25 |
| 1558714238 | David Kelly | Nurse Practitioner | 101 Fornum Dr, Grovetown, GA 30813-2697 | 2016-07-19 |
| 1053727040 | David Adam Kelly | Pharmacist | 1401 S Quintard Ave, Anniston, AL 36201-8248 | 2014-07-10 |
| 1821259722 | David Alexander Kelly | Plastic Surgery | 14275 N 87th St Ste 110, Scottsdale, AZ 85260-3696 | 2008-06-23 |
| 1508057845 | David M Kelly | Prosthetist | 1900 116th Ave Ne Ste 201, Bellevue, WA 98004-3013 | 2007-08-01 |
| 1902969843 | David P Kelly | Dentist | 3275 W Ina Rd Ste 101, Tucson, AZ 85741-2152 | 2006-12-19 |
| 1124048491 | David Randolph Kelly | Dentist | 1941 Euclid Ave, Bristol, VA 24201-3607 | 2006-07-20 |
| 1154348753 | David C Kelly | Physician Assistant | Ben Hogan Center, 800 5th Ave., Suite 410, Fort Worth, TX 76104 | 2006-07-17 |
| 1184618910 | David Kelly | Specialist | 275 Sandwich St, Plymouth, MA 02360-2183 | 2005-09-08 |
| 1699308296 | David Andrew Kelly | Counselor | 19411 Helenbirg Rd Ste 101, Covington, LA 70433-5199 | 2020-02-21 |
| Street Address |
8915 CHERRY ST |
| City | BLUE ASH |
| State | OH |
| Zip Code | 45242-7846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1740839398 | Vibrant Care LLC | In Home Supportive Care | 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 | 2019-09-06 |
| 1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
| 1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
| 1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
| Find all providers in zip 45242 | ||||
| Taxonomy Code | 2471N0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Nuclear Medicine Technology |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376703124 | Tatiana Victorovna Fryer | Radiologic Technologist | 10607 Cinderella Dr, Cincinnati, OH 45242 | 2008-06-16 |
| 1235169301 | National Pet Centers LLC | Radiologic Technologist | 19250 Bagley Road, Suite 203, National Pet Centers LLC Dba Great Lakes Medical Imagin, Middleburg Heights, OH 44130 | 2006-07-04 |
| 1578599882 | Diagnostics Imaging, LLC | Radiologic Technologist | 319 Marion Pike, Coal Grove, OH 45638-2958 | 2006-06-26 |
| 1235354929 | Stephanie N Lee | Radiologic Technologist | 4100 W Third St, Dayton, OH 45429 | 2007-04-16 |
| 1437374808 | Jeffrey Timothy Willsey | Radiologic Technologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2007-04-13 |
| 1003031410 | Amy Joann Mcmullen | Radiologic Technologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2007-04-13 |
| 1770513830 | Dedicated Pet Imaging, LLC | Radiologic Technologist | 2315 Sunset Blvd, Steubenville, OH 43952-2496 | 2006-07-04 |
Please comment or provide details below to improve the information on MR. DAVID CHARLES KELLY JR..
| 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.