MRS. KELLEY MAE HALL (NPI# 1215419031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215419031 |
Entity Type | Individual |
Full Name | MRS. KELLEY MAE HALL |
Other Name | MISS KELLEY MAE KULCZYK |
Credential | MOTR/L |
Practice Address |
2701 Chestnut Station Court Louisville KY 40299-6395 |
Mailing Address |
18275 S Burr Street Lowell IN 46356 |
Practice Telephone | 8003351060 |
Mailing Telephone | 2196966750 |
Enumeration Date | 2018-08-29 |
Last Update Date | 2018-08-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
31005998A | IN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063983567 | Kelley Alyssa Hall | Behavior Technician | 4 Stone Ridge Dr, Leicester, MA 01524-2127 | 2018-12-09 |
1467840504 | Kelley Anne Hall | Counselor | 100 Raccoon Trce, Huntsville, AL 35806-4021 | 2014-12-23 |
1851818314 | Kelley Rae Hall | Registered Nurse | 1350 N Broadway, Greenville, OH 45331 | 2017-08-25 |
Street Address |
2701 CHESTNUT STATION COURT |
City | LOUISVILLE |
State | KY |
Zip Code | 40299-6395 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508256330 | Jodi Elaine Bell | Occupational Therapy Assistant | 2701 Chestnut Station Court, Paragon Rehabilitation, Louisville, KY 40299-6395 | 2015-02-02 |
1972098309 | Lacey Kirker | Physical Therapist | 2701 Chestnut Station Court, Louisville, KY 40299 | 2018-06-27 |
1194239525 | Janice Ann Nelson | Physical Therapist | 2701 Chestnut Station Court, Louisville, KY 40299-6395 | 2017-11-21 |
1891216941 | Amanda Ann Barrow | Physical Therapy Assistant | 2701 Chestnut Station Court, Paragon Rehabilitation, Louisville, KY 40299-6395 | 2017-06-29 |
1689109142 | Kaylene Kasper | Occupational Therapist | 2701 Chestnut Station Court, Paragon Rehabilitation, Louisville, KY 40299-6395 | 2017-04-21 |
1962947077 | Lisa Hackworth | Occupational Therapy Assistant | 2701 Chestnut Station Court, Louisville, KY 40299-6395 | 2016-12-28 |
1295282838 | Vanessa Stang | Occupational Therapy Assistant | 2701 Chestnut Station Court, Paragon Rehabilitation, Louisville, KY 40299-6395 | 2016-09-01 |
1427407535 | Christina Lynn Mercer-roby | Occupational Therapist | 2701 Chestnut Station Court, Paragon Rehabilitation, Louisville, KY 40299-6395 | 2016-06-09 |
1063866580 | Rachael Layne Bayless | Occupational Therapist | 2701 Chestnut Station Court, Louisville, KY 40299-6395 | 2016-04-21 |
1548644859 | Breanne Ledford | Speech-Language Pathologist | 2701 Chestnut Station Court, Paragon Rehabilitation, Louisville, KY 40299-6395 | 2015-07-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477050144 | Jolanta Staniszewska | Social Worker | 1700 Cargo St, Louisville, KY 40299 | 2018-04-10 |
1780192302 | Chris Mcclain | Pharmacist | 1901 Campus Place, Suite 100, Louisville, KY 40299 | 2018-01-17 |
1669984209 | Bluegrass Allergy Asthma and Immunology Psc | Internal Medicine | 11900 Plantside Dr Ste 9, Louisville, KY 40299 | 2017-11-03 |
1588182109 | Hollie Marie Wheeler | Speech-Language Pathologist | Paragon Rehabilitation 2701 Chesnut Station Court, Louisville, KY 40299 | 2017-09-04 |
1790206464 | Farrah Hill Rodgers | Occupational Therapy Assistant | 2701 Chestnut Station Court., Paragon Rehabilitation, Louisville, KY 40299 | 2017-07-03 |
1871972620 | Jag Medical LLC | Pharmacy | 9813 Merioneth Dr, Louisville, KY 40299 | 2015-05-27 |
1023496205 | Scotty Ray Newcomer | Family Medicine | 8511 Watterson Trl, Louisville, KY 40299 | 2015-05-08 |
1386048262 | Daniel Gerhard Eschenbach | Dentist | 12613 Taylorsville Rd., Suite #17, Louisville, KY 40299 | 2014-10-21 |
1740616192 | Alyse C Martin | Nurse Practitioner | 9569 Taylorsville Road Suite 109, Louisville, KY 40299 | 2013-09-17 |
1407104128 | Tammy Rowland Reddington | Nurse Practitioner | 4004 Hurstbroune Woods Drive, Louisville, KY 40299 | 2012-08-28 |
Find all providers in zip 40299 |
Taxonomy Code | 207NP0225X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Pediatric Dermatology |
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
City | LOUISVILLE |
Zip Code | 40299 |
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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.