JACKIE KELLEY (NPI# 1326699430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326699430 |
| Entity Type | Individual |
| Full Name | JACKIE KELLEY |
| Practice Address |
19750 Ky 59 Vanceburg KY 41179 |
| Practice Telephone | 3044296741 |
| Mailing Telephone | 3044296741 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
19750 KY 59 |
| City | VANCEBURG |
| State | KY |
| Zip Code | 41179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033731278 | Seth Carroll | Pharmacist | Lewis County Primary Care Center, 211 Ky 59, Vanceburg, KY 41179 | 2020-05-11 |
| 1487092862 | Portsmouth Emergency Ambulance Service Inc | Ambulance | 1006 Fairlane Drive, Vanceburg, KY 41179 | 2013-06-07 |
| 1740443050 | Glenda J Gayheart | Early Intervention Provider Agency | 8385 E Ky8, Vanceburg, KY 41179 | 2008-07-07 |
| 1568651016 | John D. O'cull Dentistry P.s.c. | Dentist | Rural Route 3037, Vanceburg, KY 41179 | 2007-10-22 |
| 1225237472 | Mary K. Mcclurg | Case Manager/Care Coordinator | Aa Highway, Vanceburg, KY 41179 | 2007-07-17 |
| 1295952604 | Lewis County Health Dept | Public Health or Welfare | 185 Commercial Drive, Lewis County Health Department, Vanceburg, KY 41179 | 2007-04-19 |
| 1982749032 | John D O'cull | Dentist | Route 3037, Vanceburg, KY 41179 | 2007-02-20 |
| 1275681934 | Martha L Parker | Dietitian, Registered | Rt 3 Box 31, Vanceburg, KY 41179 | 2007-01-08 |
| 1750320446 | Family Medical Center | Family Medicine | Hc 75 Box 1005, Vanceburg, KY 41179 | 2006-06-06 |
| 1437157815 | Ramon L Barcelona | Family Medicine | 211 Ky 59, Vanceburg, KY 41179 | 2005-07-11 |
| Find all providers in zip 41179 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949848 | Belinda Sue Gadd | Technician | 988 Reges Rd., Irvine, KY 40336 | 2020-07-20 |
| 1902424203 | Charles Russell Stewart | Technician | 2613 Piqua St., Ashland, KY 41102 | 2020-07-13 |
| 1679199624 | Brenda Daily | Technician | 2955 Reid Rd, Owensboro, KY 42303-2816 | 2020-06-24 |
| 1164051348 | Pamela Gay Garner | Technician | 1524 Gooch Pike, Paint Lick, KY 40461 | 2020-04-08 |
| 1144857319 | Jing Yang | Technician | 494 N. Main St., Stanton, KY 40380 | 2020-03-26 |
| 1750917365 | Regina Yvonne Hensley | Technician | 1600 Gardiner Ln Apt 217, Louisville, KY 40205-2715 | 2020-03-14 |
| 1417580234 | Jessica Black | Technician | 640 May St, Harlan, KY 40831-1628 | 2020-02-20 |
| 1790324192 | Judy Gale Niceley | Technician | 307 Hemlock Circle, Mount Vernan, KY 40456-6502 | 2020-01-02 |
| 1174160725 | Anne S Hill | Technician | 16621 Taunton Vale Rd, Louisville, KY 40245 | 2019-12-03 |
| 1407490790 | Jerry Moore Scott | Technician | 6184 Old Glasgow Rd, Scottsville, KY 42164 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JACKIE KELLEY.
| 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.