KYLE J KELLY (NPI# 1326687120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326687120 |
| Entity Type | Individual |
| Full Name | KYLE J KELLY |
| Credential | APRN |
| Practice Address |
360 S Lola Ln Pahrump NV 89048-0884 |
| Mailing Address |
2080 Galaxy St Unit A Pahrump NV 89048-6256 |
| Practice Telephone | 7757517500 |
| Mailing Telephone | 7023283186 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
826511 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932250636 | Kyle B Kelly | Case Manager/Care Coordinator | 4371 E.72nd St., Commerce City, CO 80022 | 2007-01-16 |
| 1720581820 | Kyle Kelly | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Dr, San Diego, CA 92134-5000 | 2018-03-14 |
| 1417339086 | Kyle Kelly | Physical Therapy Assistant | 12550 S Ridgeland Ave, Palos Heights, IL 60463-1859 | 2015-06-19 |
| 1316369796 | Kyle Kelly | Pharmacist | 2555 W Apache Trl, Apache Junction, AZ 85120-5204 | 2014-01-20 |
| 1023284213 | Kyle Anderson Kelly | Anesthesiology | 800 E Dawson St, Tyler, TX 75701-2036 | 2008-05-07 |
| 1144221672 | Kyle W Kelly | Optometrist | 2301 10th Ave, Leavenworth, KS 66048-4214 | 2005-08-09 |
| Street Address |
360 S LOLA LN |
| City | PAHRUMP |
| State | NV |
| Zip Code | 89048-0884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720072333 | Jeffrey Milton Young | Emergency Medicine | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2005-09-09 |
| 1720540628 | Eds-i/homansky Practices of Nevada PC | Physician Assistant | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2019-04-01 |
| 1619436458 | Lola Emergency Physicians LLC | Emergency Medicine | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2019-03-19 |
| 1659838563 | Mercy Air Service, Inc. | Ambulance | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2019-02-27 |
| 1427582006 | Bonanza Peak Emergency Physicians LLC | Emergency Medicine | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2017-04-20 |
| 1083067433 | Dvh Hospital Alliance LLC | General Acute Care Hospital | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2016-07-21 |
| 1073963138 | Dvh Hospital Alliance LLC | General Acute Care Hospital | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2016-06-20 |
| 1346657277 | Advanced Care Emergency Specialists LLC | Emergency Medicine | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2014-07-11 |
| 1346682168 | Stephen Bert Defriez | Physical Therapist | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2013-07-22 |
| 1881932721 | Nevada Em-i Silver-homansky Medical Services Professional Corporation | Nurse Practitioner | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2013-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550577 | Adela Madueno | Technician | 1321 S. Highway 160 Ste. 10b, Pahrump, NV 89048 | 2020-08-27 |
| 1295363232 | Desert River PCa | Home Health Aide | 1890, S Mount Charleston Rd W, Pahrump, NV 89048 | 2020-03-27 |
| 1720628530 | Jeannie Gutierrez | Registered Nurse | 240 S Humahuaca, Pahrump, NV 89048 | 2020-01-09 |
| 1689214686 | Jennifer Leigh Dion | Rehabilitation Counselor | 240 S. Humahuaca Rural Clinics Parhrump, Pahrump, NV 89048 | 2020-01-08 |
| 1679119069 | Pahrump Internal Medicine | Internal Medicine | 3370 S State Highway 160, Ste 10, Pahrump, NV 89048 | 2019-11-21 |
| 1417599184 | Silver State Health Services | Clinic/Center | 951 E Honeysuckle St, Pahrump, NV 89048 | 2019-10-14 |
| 1447892369 | Leanna Claney | Home Health Aide | 1321 S. Highway 160, Suite 10b, Pahrump, NV 89048 | 2019-10-11 |
| 1154972776 | Transforming Lives Completely LLC | Counselor | 3340 S Highway St, Suite 201, Pahrump, NV 89048 | 2019-09-25 |
| 1669022992 | Stepheni J. Nelson | Technician | 1321 South Highway 160 Suite 10b, Pahrump, NV 89048 | 2019-09-18 |
| 1437709045 | Ohana Home Care, LLC | In Home Supportive Care | 1321 South Highway 160, Ste. 10b, Pahrump, NV 89048 | 2019-09-16 |
| Find all providers in zip 89048 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578976619 | Goedhart Medical Group | Nurse Practitioner | 1320 E Calvada Boulevard, Pahrump, NV 89048 | 2014-06-06 |
| 1275585382 | Renae Sue Goedhart | Nurse Practitioner | 3370 S Highway 160 Ste 9, Pahrump, NV 89048-5373 | 2006-05-17 |
| 1790300465 | Sheryl J Cipollini LLC | Nurse Practitioner | 1360 E Nevada Highway 372 Ste 5, Pahrump, NV 89048-2188 | 2020-06-09 |
| 1093284218 | Lindiane Shultis | Nurse Practitioner | 1397 S Loop Rd, Pahrump, NV 89048-4729 | 2018-11-16 |
| 1114417037 | Redstar Tyner Mello | Nurse Practitioner | 1151 S Highway 160, Pahrump, NV 89048 | 2018-05-16 |
| 1023475282 | Schadrey L. Bonds I | Nurse Practitioner | 360 S Lola Ln Bldg B, Pahrump, NV 89048-0884 | 2016-01-19 |
| 1730566647 | Donna L Kelly | Nurse Practitioner | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2015-04-29 |
| 1215350871 | Leora Taylor-sanderson | Nurse Practitioner | 1397 S Loop Rd, Pahrump, NV 89048 | 2014-01-31 |
| 1710314539 | Nathaniel D Magtoto | Nurse Practitioner | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2013-10-11 |
| 1902983331 | Kelly J Lau | Nurse Practitioner | 2100 E Calvada Blvd, Pahrump, NV 89048-5805 | 2006-11-01 |
| Find all providers in PAHRUMP | ||||
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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.