JEFFREY KELLY (NPI# 1255750840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255750840 |
Entity Type | Individual |
Full Name | JEFFREY KELLY |
Practice Address |
7220 N Lindbergh Salyer Perfusion Blvd Ste 360 St. Louis MO 63042 |
Mailing Address |
7220 N Lindbergh Blvd Salyer Perfusion Suite 360 St. Louis MO 63042 |
Practice Telephone | 3418388300 |
Practice Fax Number | 3148388304 |
Mailing Telephone | 3148388300 |
Mailing Fax Number | 3148388304 |
Enumeration Date | 2014-04-10 |
Last Update Date | 2014-04-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225500000X | Specialist/Technologist | 940145 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508338294 | Jeffrey Glen Kelly Sr. | Behavior Technician | 4540 Harlin Dr, Sacramento, CA 95826-9716 | 2018-12-19 |
1194898544 | Jeffrey Kelly | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2006-11-15 |
1932159928 | Jeffrey Alan Kelly | Chiropractor | 4266 State St, Saginaw, MI 48603-4028 | 2006-05-11 |
1477538353 | Jeffrey Scott Kelly | Anesthesiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-13 |
1770565384 | Jeffrey John Kelly | Dermatology | 3643 W Front St, Suite A, Traverse City, MI 49684-7759 | 2005-11-18 |
Street Address |
7220 N LINDBERGH SALYER PERFUSION BLVD STE 360 |
City | ST. LOUIS |
State | MO |
Zip Code | 63042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871101147 | Infusion Health Care, LLC | Home Health | 7220 N Linbergh, Suite 355, Hazelwood, MO 63042 | 2020-07-22 |
1558993014 | Humble Helpers Home Care, LLC | Home Health | 7220 N Linbergh Blvd, Suite 240, Hazlewood, MO 63042 | 2020-02-12 |
1417462391 | Community Care | Registered Nurse | 7220 N. Lindbergh Ste 310, Hazelwood, MO 63042 | 2017-12-13 |
1649797077 | Eric R Ricker | Optometrist | 7934 North Lindbergh Blvd Ste A, Hazelwood, MO 63042 | 2017-08-25 |
1750802799 | Health Remedies LLC | Meals | 414 Elmgrove Ln Apt 2, St. Louis, MO 63042 | 2017-06-29 |
1508396193 | Tyrone Cain | Home Health | 7865 Chalmette Drive, Hazelwood, MO 63042 | 2017-06-15 |
1497114888 | Joshalyn Mills | Massage Therapist | 4808 Tall Tree Ln, Hazelwood, MO 63042 | 2016-02-15 |
1902264286 | Tricar Inc | In Home Supportive Care | 1740 Leafcrest Dr, Hazelwood, MO 63042 | 2016-02-02 |
1477894426 | 2nd Chance 4 You, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 327 Sturbridge, Hazelwood, MO 63042 | 2013-03-14 |
1639427214 | Agile In-home Care, L.L.C. | Exclusive Provider Organization | 320 Brookes Drive, Suite 207, Hazelwood, MO 63042 | 2012-08-29 |
Find all providers in zip 63042 |
Taxonomy Code | 225500000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053875385 | Francesca Antoinette Latorraca | Specialist/Technologist | 1107 S Providence, Columbia, MO 65211-0001 | 2019-01-31 |
1902050511 | Mid America Balance Institute of Cass County Missouri | Specialist/Technologist | 17134 Bel Ray Pl, Belton, MO 64012-5331 | 2008-11-10 |
1982858593 | Mid America Balance Institute of Clay Platte County Missouri | Specialist/Technologist | 373 W 101st Ter, #200, Kansas City, MO 64114-4408 | 2008-11-10 |
1366484578 | Amy Christine Richardson | Specialist/Technologist | 4320 Wornall Rd, Suite 710, Kansas City, MO 64111-5941 | 2006-06-12 |
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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.