MARY KIM QUALLS (NPI# 1124251178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124251178 |
| Entity Type | Individual |
| Full Name | MARY KIM QUALLS |
| Credential | MSORT/L |
| Practice Address |
300 Donaldson Rd Nebo KY 42441-9339 |
| Practice Telephone | 2702493910 |
| Mailing Telephone | 2702493910 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | KY-R3361 | KY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033532866 | Mary Qualls | Rehabilitation Counselor | 1101 N. Magnolia St., Wister, OK 74966 | 2014-01-30 |
| Street Address |
300 DONALDSON RD |
| City | NEBO |
| State | KY |
| Zip Code | 42441-9339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942480900 | Hopkins County Health Department | Public Health or Welfare | 2695 Rabbit Ridge Rd, Nebo, KY 42441-9358 | 2007-11-07 |
| 1215428578 | Amanda Nicole Dame | Nurse Practitioner | 70 Green St, Nebo, KY 42441-9542 | 2018-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368399 | Janice Demille | Specialist/Technologist | 432 John Swafford Rd, Nebo, NC 28761-6732 | 2019-10-21 |
| 1215428578 | Amanda Nicole Dame | Nurse Practitioner | 70 Green St, Nebo, KY 42441-9542 | 2018-05-22 |
| 1144606500 | Community Companion Home Care, LLC | Community/Behavioral Health | 3288 Harmony Grove Rd, Nebo, NC 28761-5707 | 2015-08-07 |
| 1831581289 | Duckworth Acquisitions LLC | Assisted Living Facility | 3341 Old Hwy 10 East, Nebo, NC 28761-6768 | 2015-02-23 |
| 1831511310 | Robin Stine | Registered Nurse | 1251 Pinnacle Church Rd., Nebo, NC 28761-5753 | 2014-01-17 |
| 1023356565 | The Mcdowell Hospital Inc | Pharmacy | 401 Nebo School Rd, Nebo, NC 28761-6924 | 2013-01-17 |
| 1821376542 | The Mcdowell Hospital Inc | Family Medicine | 339 Nebo School Road, Nebo, NC 28761 | 2011-07-29 |
| 1962799635 | Duckworth Acquisitions LLC | Assisted Living Facility | 405 Jack Corpening Rd, Nebo, NC 28761-6768 | 2011-07-01 |
| 1902118102 | Jenna Daggett Bender | Physician Assistant | 3114 E Burma Rd, Nebo, NC 28761-8718 | 2010-07-06 |
| 1568782860 | Thomas C Licklider II | Orthotist | 132 Forest Ridge Dr, Nebo, NC 28761-8708 | 2010-06-09 |
| Find all providers in NEBO | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674797 | Sarah Cb Tucker | Specialist | 1169 Eastern Pkwy, Suite 2313, Louisville, KY 40217-1417 | 2020-03-18 |
| 1306480967 | Shawnas Monique Moore | Specialist | 3007 Dr William G Weathers Dr, Louisville, KY 40211-1891 | 2019-11-06 |
| 1497303861 | Advanced Neuromonitoring Associates, Inc. | Specialist | 3802 Arbor Way, Crestwood, KY 40014-8222 | 2019-08-29 |
| 1225509979 | Karen Rae Digirolamo | Specialist | 800 Rose St Whitney-hendrickson Bldg 3rd Fl, Lexington, KY 40536-0093 | 2018-12-06 |
| 1043781792 | Jennifer Bradley | Specialist | 800 Rose Street Whitney-hendrickson Bldg 3rd Fl, Lexington, KY 40536-0093 | 2018-12-06 |
| 1215407242 | Ann Powell | Specialist | 800 Rose Street Whitney Hendrickson Suite 306, Lexington, KY 40536-0001 | 2018-12-03 |
| 1922578160 | Robert B Slocum | Specialist | Whitney-hendrickson Building 3rd Floor, Lexington, KY 40536-0001 | 2018-11-30 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1346735214 | Stepp Fitness | Specialist | 1306 Kingdom Come Dr, Cumberland, KY 40823-1580 | 2018-06-24 |
| 1760972954 | Surgical First Assisting LLC | Specialist | 220 Mcintosh Dr, Taylorsville, KY 40071-8404 | 2018-05-14 |
| 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.