KEVIN V KELLY (NPI# 1356305882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356305882 |
| Entity Type | Individual |
| Full Name | KEVIN V KELLY |
| Credential | MD |
| Practice Address |
2040 Ogden Ave Suite 300 Aurora IL 60504-7206 |
| Mailing Address |
1256 Waterford Drive Suite 230 Aurora IL 60504 |
| Practice Telephone | 6309786770 |
| Practice Fax Number | 6309786773 |
| Mailing Telephone | 6304992404 |
| Mailing Fax Number | 6304992399 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2017-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 036129046 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200036820A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083255681 | Kevin Michael Kelly | Pharmacist | 704 Fairview Rd, Simpsonville, SC 29680-7117 | 2019-10-04 |
| 1326528787 | Kevin Howard Kelly | Marriage & Family Therapist | 5272 S Shamrock Cir, Kearns, UT 84118-7007 | 2018-08-15 |
| 1952848525 | Kevin Kelly | Social Worker | 1010 Delafield Rd Rm 1a105, Pittsburgh, PA 15215-1802 | 2017-01-20 |
| 1912300435 | Kevin Michael Kelly | Occupational Therapist | 1287 Cedar Shoals Dr Apt 718, Athens, GA 30605-3596 | 2014-09-29 |
| 1376972943 | Kevin Joseph Kelly | Nurse Practitioner | 117 E North 1st St, Roby, TX 79543-2354 | 2013-11-05 |
| 1801006515 | Kevin Michael Kelly | Chiropractor | 20 Summer St, Rockland, ME 04841-2918 | 2007-05-23 |
| 1184762627 | Kevin George Kelly | Nurse Practitioner | 331 North Ave, Wood Ridge, NJ 07075-2035 | 2007-02-04 |
| 1760597421 | Kevin James Kelly | Psychologist | 2800 Cornerstone Drive, Suite 110, Pagosa Springs, CO 81147 | 2006-08-20 |
| 1619984309 | Kevin William Kelly | Psychologist | 2013 State Street, East Petersburg, PA 17520-1216 | 2006-08-02 |
| 1730116625 | Kevin M Kelly | Emergency Medicine | 310 Greenview Way, Bowling Green, KY 42103-8767 | 2006-06-27 |
| Street Address |
2040 OGDEN AVE SUITE 300 |
| City | AURORA |
| State | IL |
| Zip Code | 60504-7206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851387328 | Teressa Alexander | Obstetrics & Gynecology | 2040 Ogden Ave, Suite 201, Aurora, IL 60504-7222 | 2005-09-21 |
| 1386156917 | Kelly Ryan | Nurse Practitioner | 2040 Ogden Ave, Aurora, IL 60504-7206 | 2017-11-05 |
| 1780058776 | Dreyer Clinic, Inc | Clinic/Center | 2040 Ogden Ave, Suite 401, Aurora, IL 60504-7206 | 2015-11-14 |
| 1942696224 | Rebecca Wilson | Nurse Practitioner | 2040 Ogden Ave, Suite 215, Aurora, IL 60504-7206 | 2015-04-13 |
| 1982974689 | Rush-copley Medical Group | Pediatrics | 2040 Ogden Ave, Suite 215, Aurora, IL 60504-7206 | 2012-01-11 |
| 1366729378 | Megan Nellie Muscia | Pediatrics | 2040 Ogden Ave, Suite 215, Aurora, IL 60504-7206 | 2011-11-04 |
| 1639455173 | Rush-copley Medical Group Nfp | Family Medicine | 2040 Ogden Ave, Suite 303, Aurora, IL 60504-7206 | 2011-10-28 |
| 1730474198 | Lauren Franker | Nurse Practitioner | 2040 Ogden Ave, Suite 300, Aurora, IL 60504-7206 | 2011-06-14 |
| 1669767174 | Colleen Elizabeth Skay | Obstetrics & Gynecology | 2040 Ogden Ave, Suite 401, Aurora, IL 60504-7206 | 2011-06-13 |
| 1700118874 | Melissa M New | Nurse Practitioner | 2040 Ogden Ave, Suite 401, Aurora, IL 60504-7206 | 2010-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568847499 | Othman Alhammad | Neurological Surgery | 12631 E 17th Ave Ste C307, Aurora, CO 80045-2527 | 2015-07-21 |
| 1558369264 | John Coon | Neurological Surgery | 12635 E 17th Ave, Aurora, CO 80045-2545 | 2005-07-07 |
| 1316559941 | Neurosurgery One PC | Neurological Surgery | 1635 Aurora Ct, Aurora, CO 80045-2541 | 2020-08-17 |
| 1659982619 | Neurosurgery One PC | Neurological Surgery | 1635 Aurora Ct, Aurora, CO 80045-2541 | 2020-08-13 |
| 1093341125 | Healthone Clinic Services - Surgery Neurological LLC | Neurological Surgery | 1501 S Potomac St, Aurora, CO 80012-5411 | 2020-03-20 |
| 1477189504 | Healthone Clinic Services - Surgery Neurological LLC | Neurological Surgery | 700 Potomac St, Aurora, CO 80011-6844 | 2020-03-20 |
| 1871147769 | Hemn Hasan Abdulrahim | Neurological Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2019-07-29 |
| 1134607377 | Manish Ganesh Pai | Neurological Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2018-07-31 |
| 1982191003 | Blake Wittenberg | Neurological Surgery | 12631 E 17th Ave Ste C307, Aurora, CO 80045 | 2018-04-14 |
| 1407353139 | Andrew Donovan | Neurological Surgery | 12631 E 17th Ave, Aurora, CO 80045-2527 | 2018-04-09 |
| Find all providers in AURORA | ||||
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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.