DEBORAH A KELLEY


Address: 218 Park St, Trinidad, TX 75163-6060
Phone: 9037782942

DEBORAH A KELLEY (NPI# 1205884863) 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) 1205884863
Entity Type Individual
Full Name DEBORAH A KELLEY
Other Name DEBORAH A KLEIN
Credential PAC
Practice Address 218 Park St
Trinidad
TX 75163-6060
Practice Telephone 9037782942
Mailing Telephone 9037782942
Enumeration Date 2006-05-05
Last Update Date 2019-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 1266-023 WI Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
PA08061 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers DEBORAH KELLEY

NPI Name Taxonomy Address Enumeration
1326589748 Deborah Kelley Counselor 1173 Meadowbrook Dr, Amherst, OH 44001-1065 2017-03-17
1740562644 Deborah Pauline Kelley Acupuncturist 8795 Ralston Rd, 127, Arvada, CO 80002-2364 2011-09-15
1962580100 Deborah Ann Kelley Social Worker 9990 County Farm Rd, Suite 6, Riverside, CA 92503-3542 2006-11-02
1124138151 Deborah J Kelley Nurse Anesthetist, Certified Registered 300 Pinellas St, Clearwater, FL 33756-3804 2006-08-31
1225012677 Deborah Kelley Nurse Practitioner 2001 W 86th St, Indianapolis, IN 46260-1902 2005-11-30
1225038052 Deborah M Kelley Physical Therapist 4 Commons Ave, Windham, ME 04062-5554 2005-07-22

Office Location

Street Address 218 PARK ST
City TRINIDAD
State TX
Zip Code 75163-6060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679548366 John L Sawtelle Family Medicine 218 Park St, Trinidad, TX 75163-6060 2006-02-17
1699324202 Dlkpac Pllc Family Medicine 218 Park St, Trinidad, TX 75163-6060 2019-09-06
1194951517 John L Sawtelle Do Pa Clinic/Center 218 Park St, Trinidad, TX 75163-6060 2009-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144418344 Gale Melvin Macziewski Jr. Chiropractor 815 Royal Blvd, Suite 1, Trinidad, TX 75163 2007-10-12
1568505519 Trinidad I.s.d. Local Education Agency (LEA) 105 W. Eaton, Trinidad, TX 75163 2007-02-15
1912947805 Wallace Grey Newman Dentist 4960 State Hwy 274, Trinidad, TX 75163 2006-06-07
1649772153 Tammi S Birch Registered Nurse 224 Morning Dove Rd, Trinidad, TX 75163-2103 2018-03-01
1578640868 Tim Peele Chiropractor 324 Comet Ranch Rd, Trinidad, TX 75163-4040 2006-11-01
1962707356 Barbie Owen Bayless Physical Therapist 324 Comet Ranch Rd, Trinidad, TX 75163-4040 2011-01-18
1700839016 Charles Byron Smith Family Medicine 209 Rosemary Dr, Trinidad, TX 75163-5109 2006-05-18
1144850637 Tammy Womack Nurse Practitioner 406 E Eaton St, Trinidad, TX 75163-7165 2020-01-23

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972589372 Las Animas Emergency Group LLC Physician Assistant 410 Benedicta Ave, Trinidad, CO 81082-2005 2005-12-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831704576 Leila Olive Adell Physician Assistant 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 2020-09-10
1619591864 Today Telemedicine Pllc Physician Assistant 404 Oxford St Apt 2219, Houston, TX 77007-2679 2020-06-03
1497384168 Gregory C Etienne Physician Assistant 7400 N 4th St, Mcallen, TX 78504-1859 2020-04-05
1689202475 Theodore Inthaphom Physician Assistant 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 2020-03-29
1740816982 Alyssa Conrad Physician Assistant 4818 Star Jasmine Dr, Austin, TX 78723-6059 2020-03-19
1114558335 Erin Lynn Brown Physician Assistant 1504 Taub Loop Houston, Houston, TX 77030 2020-01-27
1245870930 Jessica Grimaldo Physician Assistant 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 2020-01-09
1730728528 Holli Marie Beard Physician Assistant 2625 Scripture St Ste 101, Denton, TX 76201-2304 2019-12-27
1477191237 Ronald Edwin Brown Physician Assistant 1427 Cypress Point Dr, Gunter, TX 75058-3201 2019-12-11
1053957910 Rossalya Aracely Granda Gutierrez Physician Assistant 4150 N Collins St, Arlington, TX 76005-4547 2019-11-25
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Competitor

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City TRINIDAD
Zip Code 75163

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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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