KELLY J STAFFORD


Address: 1060 W Norton Ave, Muskegon, MI 49441-4175
Phone: 2317772222

KELLY J STAFFORD (NPI# 1437626942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437626942
Entity Type Individual
Full Name KELLY J STAFFORD
Practice Address 1060 W Norton Ave
Muskegon
MI 49441-4175
Mailing Address 15126 160th Ave
Grand Haven
MI 49417-8922
Practice Telephone 2317772222
Mailing Telephone 6166383818
Enumeration Date 2018-11-01
Last Update Date 2018-11-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Other Providers KELLY STAFFORD

NPI Name Taxonomy Address Enumeration
1326659186 Kelly Stafford Behavioral Analyst 6195 N Minnesota Ave Apt 1d, Portland, OR 97217-4788 2020-08-13
1578833521 Kelly Logan Stafford Counselor 357 Towne Center Pl, Suite 402, Ridgeland, MS 39157-4870 2012-01-09
1447558572 Kelly A Stafford Occupational Therapist 171 Madison Ave Fl 5, New York, NY 10016 2011-03-15
1073843512 Kelly M Stafford Specialist/Technologist 631 S College Ave, Newark, DE 19716-2010 2010-01-06
1184626806 Kelly L. Stafford Physician Assistant 2001 Vail Ave, Suite 200, Charlotte, NC 28207-1219 2005-08-12

Office Location

Street Address 1060 W NORTON AVE
City MUSKEGON
State MI
Zip Code 49441-4175

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992201461 Shontrice Yvette Holbrook Social Worker 1060 W Norton Ave, Muskegon, MI 49441-4175 2018-04-03
1669095360 Madison Kathleen Eskola Social Worker 1060 W Norton Ave, Muskegon, MI 49441-4175 2020-05-28
1871138560 Shakira Hill Assistant Behavior Analyst 1060 W Norton Ave, Muskegon, MI 49441-4175 2019-11-17
1861035875 Rachael Elizabeth Engelsman Case Manager/Care Coordinator 1060 W Norton Ave, Muskegon, MI 49441-4175 2019-10-22
1629637467 Ashley L. Briggs Social Worker 1060 W Norton Ave, Muskegon, MI 49441-4175 2019-06-06
1720642267 Morgan Budde Social Worker 1060 W Norton Ave, Muskegon, MI 49441-4175 2019-04-30
1134614696 Arbor Circle Corporation Counselor 1060 W Norton Ave, Muskegon, MI 49441-4175 2018-06-27
1649760943 Brenda Ann Waslusky Case Manager/Care Coordinator 1060 W Norton Ave, Muskegon, MI 49441-4175 2018-05-14
1609365261 Joshua Stinger Social Worker 1060 W Norton Ave, Muskegon, MI 49441-4175 2018-05-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720692494 Memphis Chardell Sandoval Nurse Practitioner 131 S. Seaway Dr., Muskegon, MI 49441 2020-09-01
1598222952 Kimberlee K Erickson-worpel Ma,llp Psychologist 3611 Henry Street, Norton Shores, MI 49441 2019-02-21
1164921011 Brittany Ann Bayne Behavior Technician 640 Seminole, Muskegon, MI 49441 2018-02-06
1497273403 Rx Optical Laboratories, Inc. Optometrist 3445 Henry St, Norton Shores, MI 49441 2017-08-30
1801320072 Gentle Souls Home Care, LLC In Home Supportive Care 2743 Henry Street Pmb #117, Muskegon, MI 49441 2017-04-14
1467814889 Lyle Karp Hearing Instrument Specialist 3145 Henry St., Muskegon, MI 49441 2016-03-24
1649653817 Jessica Marie Lambert Dentist 5978 Harvey St., Muskegon, MI 49441 2015-07-06
1114320595 Mark Reider Counselor 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 2014-09-30
1679826002 Kathleen M Dole Social Worker 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 2012-10-23
1144523119 Terri Lee Garza Social Worker 1095 Third St, Muskegon, MI 49441 2010-12-14
Find all providers in zip 49441

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093010175 Daniel Clapper Specialist 2021 Hoyt St, Muskegon, MI 49444-1118 2011-01-20
1104005065 Shoreline Neurosurgical Consulting, Plc Specialist 1675 Leahy St., Suite 401, Muskegon, MI 49442 2007-10-29
1649368093 John E Mcdonald Specialist 1762 Wagner Ave, Muskegon, MI 49442-2400 2006-10-11
1275553513 Raymond Robert Komray Specialist 1365 Mercy Dr, Muskegon, MI 49444-1837 2006-07-20
1639123771 John Leclaire M.d., P.l.c. Specialist 172 E Forest Ave, Muskegon, MI 49442-5541 2006-05-22
1487621967 Daniel Weller Specialist 1440 E Harbour Towne Cir, Muskegon, MI 49441-6401 2006-03-03
1396740825 Hikmet H Sipahi II Specialist 1440 E Sherman Blvd, Suite 200, Muskegon, MI 49444-1816 2005-06-21
1255334397 Willard Peter Debraber Specialist 1761 Wells Ave, Muskegon, MI 49442-2459 2005-05-23
1932721602 Joshua Stewart Vandenberg Specialist 376 E Apple Ave, Muskegon, MI 49442-3466 2020-05-15
1669875779 Kathy Varboncoeur Specialist 1823 Commerce St, Muskegon, MI 49441-2608 2014-10-02
Find all providers in MUSKEGON

Competitor

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City MUSKEGON
Zip Code 49441

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Dataset Information

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.

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