KEVIN ERIC KELLY (NPI# 1235464447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235464447 |
| Entity Type | Individual |
| Full Name | KEVIN ERIC KELLY |
| Credential | NP |
| Practice Address |
368 Fell St San Francisco CA 94102-5144 |
| Practice Telephone | 4158610828 |
| Practice Fax Number | 4158610257 |
| Mailing Telephone | 4158610828 |
| Mailing Fax Number | 4158610257 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2016-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 3269 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
19354 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083255681 | Kevin Michael Kelly | Pharmacist | 704 Fairview Rd, Simpsonville, SC 29680-7117 | 2019-10-04 |
| 1326528787 | Kevin Howard Kelly | Marriage & Family Therapist | 5272 S Shamrock Cir, Kearns, UT 84118-7007 | 2018-08-15 |
| 1952848525 | Kevin Kelly | Social Worker | 1010 Delafield Rd Rm 1a105, Pittsburgh, PA 15215-1802 | 2017-01-20 |
| 1912300435 | Kevin Michael Kelly | Occupational Therapist | 1287 Cedar Shoals Dr Apt 718, Athens, GA 30605-3596 | 2014-09-29 |
| 1376972943 | Kevin Joseph Kelly | Nurse Practitioner | 117 E North 1st St, Roby, TX 79543-2354 | 2013-11-05 |
| 1801006515 | Kevin Michael Kelly | Chiropractor | 20 Summer St, Rockland, ME 04841-2918 | 2007-05-23 |
| 1184762627 | Kevin George Kelly | Nurse Practitioner | 331 North Ave, Wood Ridge, NJ 07075-2035 | 2007-02-04 |
| 1760597421 | Kevin James Kelly | Psychologist | 2800 Cornerstone Drive, Suite 110, Pagosa Springs, CO 81147 | 2006-08-20 |
| 1619984309 | Kevin William Kelly | Psychologist | 2013 State Street, East Petersburg, PA 17520-1216 | 2006-08-02 |
| 1730116625 | Kevin M Kelly | Emergency Medicine | 310 Greenview Way, Bowling Green, KY 42103-8767 | 2006-06-27 |
| Street Address |
368 FELL ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94102-5144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285708057 | June Harvey | Community Health Worker | 368 Fell St, San Francisco, CA 94102 | 2006-11-20 |
| 1245831429 | Nicholas Zacharia Victor Hedlund | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-11-04 |
| 1851991574 | Natalia Rojas | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-10-30 |
| 1336748037 | Alanis K Suarez | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-10-22 |
| 1396344081 | Ventanta L Magallanes | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-10-22 |
| 1508465444 | Kaylin E Hernandez | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-10-21 |
| 1366041204 | Jordan Tauber-marshall | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-10-21 |
| 1174122006 | Shannon Page | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-10-21 |
| 1295334134 | Crystal Ding Ho | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-10-21 |
| 1578170130 | Anna Stofle | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849318 | Alvin Vallejo | Registered Nurse | 30 Van Ness, Suite 2300, San Francisco, CA 94102 | 2020-04-07 |
| 1831731041 | Erica Keller | Physician Assistant | 1998 Market Street, Within Carbon Health, San Francisco, CA 94102 | 2019-10-09 |
| 1790342368 | Emma Victoria Mc Arthur | Acupuncturist | 364 Hayes Street, Second Floor, San Francisco, CA 94102 | 2019-05-20 |
| 1265926489 | Sharon Lee Haynes | Counselor | 711 Van Ness Ave Ste 500, San Francisco, CA 94102 | 2018-06-20 |
| 1487166898 | Therapia Health Management Inc. | Clinic/Center | 1390 Market St. Suite 200, San Francisco, CA 94102 | 2017-10-26 |
| 1700395456 | Faiza Saeed | Community Health Worker | 315 Turk Street, San Francisco, CA 94102 | 2017-09-26 |
| 1093255184 | Abigail Roh | Counselor | 50 Ivy St., San Francisco, CA 94102 | 2017-03-08 |
| 1598214173 | See Saw Seen Optometry | Optometrist | 515 Gough Street, San Francisco, CA 94102 | 2016-09-24 |
| 1841744505 | Kyra Lee | Dentist | 490 Post St Ste 1450, San Francisco, CA 94102 | 2016-08-11 |
| 1255702528 | Jins Eyewear Us, Inc. | Technician/Technologist | 151 Powell St., San Francisco, CA 94102 | 2015-10-13 |
| Find all providers in zip 94102 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| 1760029847 | Manpreet Kaur Pannu | Nurse Practitioner | 900 Hyde St Ste 413, San Francisco, CA 94109-4806 | 2019-12-07 |
| 1134761711 | Christianne Burns | Nurse Practitioner | 507 Polk St Ste 410, San Francisco, CA 94102-3396 | 2019-10-15 |
| 1366953259 | Marjan Bazzazi | Nurse Practitioner | 505 Parnasus Avenue, San Francisco, CA 94143 | 2017-10-18 |
| 1841617347 | Kristen Akemi Sada | Nurse Practitioner | 2 Koret Way # N-319x, San Francisco, CA 94143-0602 | 2014-03-21 |
| 1578849980 | Charles Primich | Nurse Practitioner | 8 Bernice St, Unit 206, San Francisco, CA 94103-4348 | 2011-10-30 |
| 1659599983 | Karen Triandafyllis | Nurse Practitioner | 995 Potrero Ave, Ward 93, San Francisco General Hospital, Otop, San Francisco, CA 94110 | 2007-04-23 |
| 1538248927 | Rosalind Mc Niesh Delisser | Nurse Practitioner | 2 Koret Way Rm N505g, Box 0608, San Francisco, CA 94143-0608 | 2006-11-04 |
| 1508974791 | Melissa Anne Jethanandani | Nurse Practitioner | 245 11th St, San Francisco, CA 94103 | 2006-08-28 |
| 1508848714 | Mary Jocelyn Porquez | Nurse Practitioner | 760 Harrison St, San Francisco, CA 94107-1235 | 2005-11-15 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94102 |
Please comment or provide details below to improve the information on KEVIN ERIC KELLY.
| 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.