TRENT KELLY (NPI# 1326479676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326479676 |
| Entity Type | Individual |
| Full Name | TRENT KELLY |
| Credential | LMP |
| Practice Address |
511 Meline Rd Se Port Orchard WA 98367-7551 |
| Practice Telephone | 3604408699 |
| Mailing Telephone | 3604408699 |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2015-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA 60429754 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952663460 | Trent Merrill Kelly | Dentist | 4693 Morse Rd, Gahanna, OH 43230-1375 | 2012-06-11 |
| Street Address |
511 MELINE RD SE |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98367-7551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518432905 | Harbor Counseling Pllc | Counselor | 1097 Sw Matrix Ln, Port Orchard, WA 98367 | 2018-10-11 |
| 1275055865 | Jennifer Lorene Champion | Nutritionist | 2561 Sw Siskin Circle, Port Orchard, WA 98367 | 2017-07-14 |
| 1912446147 | Hunter Hutchison Severt | Physical Therapy Assistant | 2650 Sw Youwod Way, Port Orchard, WA 98367 | 2017-02-21 |
| 1326202615 | Prashant P Makadia | Dentist | 417 Sw Sedgwick Rd, Suite 101, Port Orchard, WA 98367 | 2008-07-15 |
| 1346285202 | Rachel L Burgett | Nurse Practitioner | 7926 Promenade Lane, Port Orchard, WA 98367 | 2006-06-17 |
| 1184667149 | Julie Marie Gostin | Occupational Therapist | 8403 View Park Dr., Port Orchard, WA 98367 | 2006-06-14 |
| 1205882826 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 370 Sw Sedgwick Rd, Port Orchard, WA 98367 | 2006-05-25 |
| 1376501643 | Mvp Physical Therapy, Inc. | Physical Therapist | 451 Sw Sedgwick Rd., Suite 310, Port Orchard, WA 98367 | 2006-05-03 |
| 1558478818 | Franciscan Medical Group | Family Medicine | 451 Sw Sedgwick Rd, Ste 110, Port Orchard, WA 98367 | 2006-08-24 |
| 1215900303 | Mark Ian Anderson | Urology | 450 S. Kitsap Blvd., Franciscan Urology Associates, Suite 210, Port Orchard, WA 98367-0001 | 2006-02-09 |
| Find all providers in zip 98367 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104239227 | Launa Sorensen | Specialist | 7419 Ebbert Dr Se, Port Orchard, WA 98367-9753 | 2014-06-05 |
| 1154755320 | Lorena Carroll Narruhn | Specialist | 4003 Se Sedgwick Rd, Port Orchard, WA 98366-9000 | 2013-08-23 |
| 1205164746 | Mitzi Gayle Lawson | Specialist | 1790 Sidney Ave, # 8-331, Port Orchard, WA 98366-2439 | 2009-11-20 |
| 1881928596 | Trina Block | Specialist | 5522 E Collins Rd, Port Orchard, WA 98366-8330 | 2009-09-28 |
| 1235371873 | Anastasia S Oleinikov | Specialist | 1800 Se Mile Hill Dr, Suite 150, Port Orchard, WA 98366-3511 | 2009-03-27 |
| 1093964884 | Elena Shirgalieva | Specialist | 1900 Se Auburn St, Port Orchard, WA 98367-7852 | 2008-09-16 |
| 1881852382 | Rebecca Jean Spieth | Specialist | 3894 Se Castlewood Drive, Port Orchard, WA 98366-2229 | 2008-05-30 |
| 1851571756 | Ashlee Eve Stephens | Specialist | 1432 Se Fenton Rd, Port Orchard, WA 98367-9472 | 2007-11-07 |
| 1619162336 | Sharon L. Hancoff | Specialist | 4577 Sidney Rd Sw, Port Orchard, WA 98367-7573 | 2007-09-06 |
| 1568656809 | Linda Lee Sizemore | Specialist | 2068 Se Sedgwick Rd, Port Orchard, WA 98366-9502 | 2007-08-29 |
| Find all providers in PORT ORCHARD | ||||
| City | PORT ORCHARD |
| Zip Code | 98367 |
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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.