CHARLES R KELLY (NPI# 1356333496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356333496 |
| Entity Type | Individual |
| Full Name | CHARLES R KELLY |
| Credential | MD |
| Practice Address |
4400 Broadway St Ste 540 Kansas City MO 64111-3498 |
| Practice Telephone | 8169313013 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 0413279 | KS | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | MDR4208 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366765661 | Charles Christopher Kelly | Massage Therapist | 124 Arborgate Cir, Columbia, SC 29212-2465 | 2010-03-01 |
| 1730123639 | Charles E Kelly | Specialist | 3050 Centre Pointe Drive, Suite 200, Roseville, MN 55113 | 2006-06-15 |
| 1780678979 | Charles E Kelly II | Specialist | 2839 Hwy 231 North, Suite 208a, Shelbyville, TN 37160-7449 | 2005-09-02 |
| 1922588292 | Charles Kelly | Physical Therapy Assistant | 401 Oakwood Blvd, Round Rock, TX 78681 | 2018-08-16 |
| 1093247447 | Charles Michael Kelly II | Family Medicine | 210 9th St Se, Rochester, MN 55904-6756 | 2017-04-03 |
| 1508013103 | Charles J Kelly | Counselor | 21 Franciscan Way, Garrison, NY 10524-0150 | 2008-08-26 |
| 1518025683 | Charles L Kelly | Social Worker | 40 Industrial Park Rd, Department of Mental Health, Plymouth, MA 02360-4884 | 2006-12-04 |
| 1447367461 | Charles Francis Kelly | Chiropractor | 36410 Garfield, Clinton Township, MI 48035-1131 | 2006-08-24 |
| 1760402473 | Charles A. Kelly | Psychiatry & Neurology | 913 Bowman Rd # B, Mt Pleasant, SC 29464-3235 | 2006-07-19 |
| 1528009800 | Charles Michael Kelly | Orthopaedic Surgery | 7710 Mercy Rd, Suite 224, Omaha, NE 68124-2372 | 2006-06-09 |
| Street Address |
4400 BROADWAY ST STE 540 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-3498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760488837 | Joseph Tauber | Specialist | 4400 Broadway St, Ste 202, Kansas City, MO 64111-3342 | 2005-06-23 |
| 1962817130 | Karl Nelson Knights | Internal Medicine | 4400 Broadway St, Ste 520, Kansas City, MO 64111 | 2014-06-26 |
| 1912298647 | Cuba S Davis | Counselor | 4400 Broadway St, Ste 407, Kansas City, MO 64111-3498 | 2011-04-28 |
| 1598080905 | John C Hall Md PC | Specialist | 4400 Broadway St, Suite 416, Kansas City, MO 64111-3498 | 2010-03-30 |
| 1952550220 | Robert Burton Shonkwiler | Counselor | 4400 Broadway St, Suite 410, Kansas City, MO 64111-3498 | 2008-09-11 |
| 1164686481 | Duane A Lundervold | Counselor | 4400 Broadway St, Kansas City, MO 64111-3498 | 2008-07-16 |
| 1366615908 | Martin P. O'laughlin Md PC | Pediatrics | 4400 Broadway St, Suite 400, Kansas City, MO 64111-3498 | 2008-04-03 |
| 1679773600 | Matthew Moser Hastings | Psychiatry & Neurology | 4400 Broadway St, Ste. 520, Kansas City, MO 64111-3498 | 2007-07-18 |
| 1588860431 | Elizabeth Ann Mulvenon | Nurse Practitioner | 4400 Broadway St, Suite 510, Kansas City, MO 64111-3498 | 2007-06-26 |
| 1578770954 | Personal & Family Development Services Ptr | Psychologist | 4400 Broadway St, Suite 410, Kansas City, MO 64111-3498 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718640 | Michael Vincent Pizzato | Physical Medicine & Rehabilitation | 1408 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-07-28 |
| 1942785365 | Frank Quoc Pham | Physical Medicine & Rehabilitation | 5107 Virginia Ave, Kansas City, MO 64110-2517 | 2018-10-02 |
| 1295225118 | Empower Health Investments LLC | Physical Medicine & Rehabilitation | 111 Ne 91st St, Kansas City, MO 64155-3329 | 2018-05-16 |
| 1609372648 | Micheal Thomas Murphy | Physical Medicine & Rehabilitation | 4000 Cambridge St # Ms 1046, Kansas City, KS 66160-1902 | 2018-03-30 |
| 1205120649 | Element Physical Medicine, LLC | Physical Medicine & Rehabilitation | 601 E. 63rd Street, Suite 210, Kansas City, MO 64110-3303 | 2011-06-02 |
| 1669606398 | Anthony W Burgess | Physical Medicine & Rehabilitation | 5050 Ward Pkwy, Kansas City, MO 64112-2505 | 2009-05-09 |
| 1699926352 | Andrew Colbert Lueder | Physical Medicine & Rehabilitation | 6400 Prospect #346, Kansas City, MO 64132 | 2008-09-30 |
| 1275748410 | James Patrick Mclean | Physical Medicine & Rehabilitation | Rehabilitation Medicine, Mail Stop 1046, K.u. Medical Center, 3901, Kansas City, KS 66160-0001 | 2007-05-11 |
| 1497891329 | Kansas University Physicians Inc | Physical Medicine & Rehabilitation | B430 Ku Hospital, Mail Stop 4022 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1558474486 | Sivakoti R Katta | Physical Medicine & Rehabilitation | 8919 Parallel Pkwy Ste 215, Kansas City, KS 66112-1655 | 2006-08-16 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.