KELLEY HAERTILNG (NPI# 1235697525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235697525 |
| Entity Type | Individual |
| Full Name | KELLEY HAERTILNG |
| Practice Address |
1141 PCr 917 Perryville MO 63775-8347 |
| Practice Telephone | 5738466153 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1141 PCR 917 |
| City | PERRYVILLE |
| State | MO |
| Zip Code | 63775-8347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144949 | New Life Mission Inn - Missouri | Clinic/Center | 114 W. South, Perryville, MO 63775 | 2020-11-02 |
| 1881211829 | Sarah Jo Cross | Social Worker | 406 S Spring St, Ste 2, Perryville, MO 63775 | 2020-06-25 |
| 1902461908 | Health Care Pharmacy of Perryville, LLC | Pharmacy | 628 N Old St Marys Rd, Perryville, MO 63775 | 2019-05-06 |
| 1710437603 | Danielle Renee Hoeckele | Chiropractor | 1516 Edgemont Blvd Ste 100, Perryville, MO 63775 | 2016-10-04 |
| 1487024956 | Sherry Ann Goshen | Social Worker | 12 N Kings Hwy, Perryville, MO 63775 | 2015-09-28 |
| 1669801353 | Derek Adelman | Physical Therapy Assistant | 206 Hospital Lane, Ste 100, Perryville, MO 63775 | 2013-11-04 |
| 1407158678 | Perry County Memorial Hospital | Ambulance | 434 N West Street, Perryville, MO 63775 | 2010-11-22 |
| 1699928358 | East Missouri Action Agency, Inc. | Clinic/Center | 519 Old St Mary's Rd, Perryville, MO 63775 | 2008-10-28 |
| 1013171115 | Air Evac Ems Inc. | Ambulance | 4801 N Highway 51, Perryville, MO 63775 | 2008-07-17 |
| 1245457241 | Robert Schremp | Physical Therapist | 150 S. Mount Auburn Road, Cape Girardeau, MO 63775 | 2007-04-19 |
| Find all providers in zip 63775 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025304 | Casey Unterreiner | Student in an Organized Health Care Education/Training Program | 282 Highway O, Perryville, MO 63775-8762 | 2020-05-20 |
| 1477048908 | Anne Isaacs | Student in an Organized Health Care Education/Training Program | 515 Broad St, Perryville, MD 21903-2734 | 2018-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272874 | Jacob Oliver Allen | Student in an Organized Health Care Education/Training Program | 3506 Frontier Dr, Saint Charles, MO 63303-6636 | 2020-10-11 |
| 1194323378 | Nicholas Andrews | Student in an Organized Health Care Education/Training Program | 2308 Sw Hawk View Rd, Lees Summit, MO 64082-4095 | 2020-10-11 |
| 1639777816 | Brittany Hodgman | Student in an Organized Health Care Education/Training Program | 1329 Governors Run Ct, O Fallon, MO 63366-5577 | 2020-10-11 |
| 1003423799 | Alexander Sextro | Student in an Organized Health Care Education/Training Program | 921 Saint Louis St, Florissant, MO 63031-4934 | 2020-09-26 |
| 1245845908 | Ali Hamzehloo | Student in an Organized Health Care Education/Training Program | 1155 Appleseed Ln Unit D, Saint Louis, MO 63132-3239 | 2020-09-10 |
| 1538773361 | Aarika Danielle Gardner | Student in an Organized Health Care Education/Training Program | 560 W Bryant Apt D207, Springfield, MO 65810-8329 | 2020-08-31 |
| 1801409545 | Hannah Walker | Student in an Organized Health Care Education/Training Program | 7507 Parkdale Ave Apt 3e, Clayton, MO 63105-2853 | 2020-08-24 |
| 1750993093 | Alyssa Brown | Student in an Organized Health Care Education/Training Program | 1444 Grand Blvd Apt 1201, Kansas City, MO 64106-2975 | 2020-08-18 |
| 1508475245 | Irfan Yasin | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd Dept Of, Saint Louis, MO 63104-1004 | 2020-07-29 |
| 1174132948 | Trevor William Harvey | Student in an Organized Health Care Education/Training Program | 1908 E Parrin Ave, Ozark, MO 65721-4508 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | PERRYVILLE |
| Zip Code | 63775 |
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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.