MARIA KELLY


Address: 2901 Brooks St, Missoula, MT 59801-7703
Phone: 4067210918

MARIA KELLY (NPI# 1205394764) 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) 1205394764
Entity Type Individual
Full Name MARIA KELLY
Credential NP-C
Practice Address 2901 Brooks St
Missoula
MT 59801-7703
Mailing Address Po Box 7609
Missoula
MT 59807-7609
Practice Telephone 4067210918
Practice Fax Number 4068297830
Mailing Telephone 4067215600
Enumeration Date 2019-03-04
Last Update Date 2020-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner NUR-APRN-LIC-143 MT Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
NUR-APRN-LIC-143 MT Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
500 W Broadway St, Missoula, MT 598024008 4067215600 4063297369

Other Providers MARIA KELLY

NPI Name Taxonomy Address Enumeration
1194866434 Maria D. Kelly Radiology 1230 Grove Park Ct, Earlysville, VA 22936-2840 2007-02-09
1770950719 Maria Kelly Nurse Practitioner 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 2015-08-25
1821312414 Maria Elizabeth Kelly Pharmacist 16601 E Centretech Pkwy, Aurora, CO 80011-9045 2010-03-25
1033448972 Maria Virginia Kelly Acupuncturist 6515 Kennedy Blvd E, Ig, West New York, NJ 07093-4231 2009-12-23
1790968881 Maria A Kelly Counselor 425 E Main St Ste 600, Othello, WA 99344-1146 2007-12-11
1609899103 Maria Kelly Physical Therapist 11122b N Cedarburg Rd, Mequon, WI 53092-4357 2006-07-25
1376583336 Maria N Kelly Pediatrics 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2006-06-07

Office Location

Street Address 2901 BROOKS ST
City MISSOULA
State MT
Zip Code 59801-7703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912934720 Mark S Woltanski Family Medicine 2901 Brooks St, Missoula, MT 59801-7722 2006-06-27
1639550684 Katelyn Kay Mcneill Dentist 2901 Brooks St, Missoula, MT 59801-7722 2015-06-16
1639558315 Kimberlee Ann Pollock Massage Therapist 2901 Brooks St, Ste B9, Missoula, MT 59801-7722 2015-05-27
1275877912 Sara Marie Zehnpfennig Nurse Practitioner 2901 Brooks St, Missoula, MT 59801-7722 2012-11-19
1740515469 Dale R. Thoman, O.d. Pllc Optometrist 2901 Brooks St, (inside Lenscrafters), Missoula, MT 59801-7722 2009-10-14
1619144821 Western Montana Clinic PC Clinic/Center 2901 Brooks St, Missoula, MT 59801-7722 2008-05-15
1700097607 Gregory Swica Dentist 2901 Brooks St, Sapphire Dental Group, Missoula, MT 59801-7722 2007-05-24
1336294404 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 2901 Brooks St, Southgate Mall, Missoula, MT 59801-7722 2007-01-25
1386759744 Rowan P Mcquarrie Dentist 2901 Brooks St, Southgate Mall, Missoula, MT 59801-7722 2006-08-19
1174546857 Carla Catherine Fritz Family Medicine 2901 Brooks St, Missoula, MT 59801-7722 2006-07-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629681010 Time To Thrive Pllc Social Worker 1836 South Ave. West, Missoula, MT 59801 2020-08-26
1740815653 Yuzo Fujiki Specialist/Technologist 210 N California St 104, Missoula, MT 59801 2020-03-11
1407346596 Stepping Stones Counseling, Pllc Counselor 202 Brooks St Ste 300, Missoula, MT 59801 2018-05-14
1437668530 Rejuve Care Clinic, Inc Plastic Surgery 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 2017-09-21
1619499555 Beatrice Elise Powers Specialist/Technologist 410 B Stephens Ave, Missoula, MT 59801 2017-07-12
1770012197 Hannah Lepiane Massage Therapist 1313 S. 4th W., Missoula, MT 59801 2017-06-08
1811420227 Celeste Willis Social Worker 1055 W. Sussex, Missoula, MT 59801 2017-04-04
1073050498 Rina Kasuga Specialist/Technologist 913 Rimini Ct, Missoula, MT 59801 2017-01-24
1043756919 Heather Bartz Specialist/Technologist 831 Hastings Ave, Missoula, MT 59801 2017-01-16
1255874517 Sarabeth Haddad Social Worker 1055 W Sussex Ave, Missoula, MT 59801 2016-11-18
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720687577 Magdalene M Collins Nurse Practitioner 2541 Overlook Blvd, Helena, MT 59601-1413 2020-10-22
1326403510 Teresa Dutro Nurse Practitioner 6340 Alamosa Ln, Bozeman, MT 59718-9563 2015-12-15
1568082808 Lauren M Hastings Nurse Practitioner 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 2020-04-16
1326679291 Leigh Ellen Gipe Nurse Practitioner 801 N 29th St, Billings, MT 59101-0905 2020-01-30
1114580701 Martha Leigh Nugent Nurse Practitioner 214 14th Ave Sw, Sidney, MT 59270-3521 2019-04-18
1609377803 Aimee Zupicich Nurse Practitioner 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 2018-02-22
1376075309 Kayleigh Moldenhauer Nurse Practitioner 3687 Veterans Dr., Fort Harrison, MT 59636-1500 2017-03-29
1538539390 Donna M. Vantassel Nurse Practitioner 408 Wendell Ave, Lewistown, MT 59457-2261 2015-10-05
1861746737 Leanne M Mcfarland Nurse Practitioner 401 S Alabama St Ste 9, Butte, MT 59701-2358 2012-10-31
1770859605 Kristen Marie Jaster Nurse Practitioner 2550 E Broadway St, Helena, MT 59601-4905 2012-03-26
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Competitor

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City MISSOULA
Zip Code 59801

Improve Information

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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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