DR. SUZANNE KAY KELLEY (NPI# 1275637795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275637795 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE KAY KELLEY |
| Credential | DO |
| Practice Address |
3721 Tecport Dr Harrisburg PA 17111-1219 |
| Mailing Address |
4295 Maryland Ct Harrisburg PA 17112-9115 |
| Practice Telephone | 7175406777 |
| Practice Fax Number | 7176712459 |
| Mailing Telephone | 7175458052 |
| Mailing Fax Number | 7175458052 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS003971L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790203768 | Suzanne Kelley | Speech-Language Pathologist | 1719 Kingsbury Rd, Washington, IL 61571-9278 | 2017-08-30 |
| 1871512277 | Suzanne Kelley | Pharmacist | 5041 North 12th Avenue, Covenant Hospice, Pensacola, FL 32504 | 2006-07-18 |
| 1336118678 | Suzanne Kelley | Nurse Practitioner | 222 W Thomas Rd Ste 114, Phoenix, AZ 85013 | 2006-03-17 |
| 1164959599 | Suzanne Nicole Kelley | Massage Therapist | 55 Nw Wall St Ste 100, Bend, OR 97703-3200 | 2017-05-16 |
| 1518385863 | Suzanne Kelley | Counselor | 633 Asbury Dr, Suite A, Mandeville, LA 70471-6511 | 2014-04-03 |
| 1689931180 | Suzanne M Kelley | Nurse Practitioner | 4716 Alliance Blvd Ste 500, Plano, TX 75093 | 2012-04-20 |
| 1508135138 | Suzanne Kelley | Counselor | 950 N 4th St, Longview, TX 75601-5436 | 2011-12-28 |
| 1659569192 | Suzanne P Kelley | Counselor | 101 Jordan Dr, Chattanooga, TN 37421-6732 | 2007-10-10 |
| 1033146436 | Suzanne B Kelley | Pediatrics | 1500 S Main St, Fort Worth, TX 76104-4917 | 2006-06-28 |
| Street Address |
3721 TECPORT DR |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17111-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275681033 | Nicole Holland | Pharmacist | 3721 Tecport Dr, Harrisburg, PA 17111-1200 | 2007-01-08 |
| 1467558973 | Joshua Henry Bennett | Family Medicine | 3721 Tecport Dr, Harrisburg, PA 17111-1219 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589011 | Brightwood Adult Day Care LLC | Clinic/Center | 5630 Derry Street, Harrisburg, PA 17111 | 2020-02-11 |
| 1114486008 | Candy Benson | Behavior Technician | 2225 Sycamore St Suite 240, Harrisburg, PA 17111 | 2019-03-19 |
| 1295203206 | Shannon Ingram | Behavior Technician | 2225 Sycamore St Suite 120, Harrisburg, PA 17111 | 2018-11-07 |
| 1255862678 | A Caring Hand Home Health Care LLC | Home Health | 5600 Derry St, Harrisburg, PA 17111 | 2017-03-27 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1427320688 | Joseph J Trautlein | Allergy & Immunology | 6450 Colchester Ave, Harrisburg, PA 17111 | 2012-02-03 |
| 1083983019 | Bonsall Manfredi & Assoc, P.C. | Psychiatry & Neurology | 2600 Woodlawn Street, Harrisburg, PA 17111 | 2011-12-20 |
| 1083920045 | Mh Medical LLC | Durable Medical Equipment & Medical Supplies | 7412 Derry Street, Harrisburg, PA 17111 | 2010-08-27 |
| Find all providers in zip 17111 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824954 | Novant Medical Group, Inc. | Family Medicine | 6555 Kee Lane, Harrisburg, NC 28075-7463 | 2019-07-25 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1457795171 | Sarah Elizabeth Nickolich | Family Medicine | 121 N Nyes Rd Ste F, Harrisburg, PA 17112-3248 | 2013-04-24 |
| 1083989883 | Urgent Cares of America North Carolina Inc | Family Medicine | 4415 Schoolhouse Commons, Harrisburg, NC 28075-7460 | 2012-03-13 |
| 1982975108 | Thomas Raymond Czarnecki | Family Medicine | 4101 Ridgeview Road, Harrisburg, PA 17112 | 2012-01-19 |
| 1659508760 | Samuel Looker | Family Medicine | 4984 Westchester Dr, Harrisburg, PA 17112-2184 | 2009-06-16 |
| 1881854461 | Bernadatte Georga Gilbert | Family Medicine | 121 Nyes Road, Suite A, Penn State Medical Group Nyes Road - Family Medicine I, Harrisburg, PA 17112 | 2008-06-16 |
| 1649445800 | Raselette Agatha Hunt | Family Medicine | 2292 Forest Ln, Harrisburg, PA 17112-6004 | 2008-04-28 |
| 1114094851 | James O Alexander | Family Medicine | 901 S Commercial St, Harrisburg, IL 62946-2640 | 2006-11-29 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17111 |
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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.