KELLY L LINLEY


Address: 2707 S Van Buren St, Amarillo, TX 79109-2535
Phone: 8069351900

KELLY L LINLEY (NPI# 1447568589) 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) 1447568589
Entity Type Individual
Full Name KELLY L LINLEY
Credential PA-C
Practice Address 2707 S Van Buren St
Amarillo
TX 79109-2535
Mailing Address 5121 Benton Dr
Amarillo
TX 79110-3103
Practice Telephone 8069351900
Practice Fax Number 8069343343
Mailing Telephone 8069351900
Mailing Fax Number 8069343343
Enumeration Date 2010-09-23
Last Update Date 2016-01-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA06368 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 283242003 05

Office Location

Street Address 2707 S VAN BUREN ST
City AMARILLO
State TX
Zip Code 79109-2535

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003455098 Pamela Dawn George Counselor 3807 S. Virginia, Amarillo, TX 79109 2019-12-23
1083251318 Raeann Mask Massage Therapist 3501 W. 45th St, Suite T, Amarillo, TX 79109 2019-12-05
1962044941 Donna Raef Kizziar Nurse Practitioner Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 2019-10-11
1730734971 Suzanne Marie Needham Speech-Language Pathologist 49112 Matador, Amarillo, TX 79109 2019-08-05
1477108686 Danielle Denee' Coleman Pharmacy Technician 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 2019-08-05
1245795780 Monica Favela Prieto Nurse Practitioner Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 2019-02-08
1598266439 Catherine Cheyenne Wills Behavior Technician 6031 Bell Street, Amarillo, TX 79109 2018-02-26
1053828038 Anisa Ann Rodriguez-espinoza Behavior Technician 6031 Bell, Amarillo, TX 79109 2017-12-29
1336656313 Johnny Thomas Johansen Behavior Technician 6031 Bell St., Amarillo, TX 79109 2017-12-29
1821535683 Daniel & Max, LLC Optometrist 3501 West I-40, Suite A, Amarillo, TX 79109 2017-01-31
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992316202 Alexa Renee Wingo Physician Assistant 8200 Zachary Pl, Amarillo, TX 79119-7353 2020-08-11
1528626017 Rozlyn Austin Physician Assistant 2204 S Ong St, Amarillo, TX 79109-2247 2019-05-30
1144745720 Valerie Renee Neitsch Physician Assistant 5040 S Coulter St Apt 510, Amarillo, TX 79119-5423 2017-08-04
1942572219 Jessica Hanson Berg Physician Assistant 808 S Buchanan St, Amarillo, TX 79101-3604 2012-02-02
1578756771 Fmc Clinics, P.a. Physician Assistant 5807 Sw 45th Avenue, Suite 100, Amarillo, TX 79109-5205 2007-08-21
1013040914 Melinda Sue Schock Physician Assistant 1215 S Coulter St Ste 101, Amarillo, TX 79106-1761 2007-03-13
1639189970 Rose G Omamogho Physician Assistant 1500 S Coulter St Ste 6, Amarillo, TX 79106-1790 2006-08-09
1649205972 Fmc Medical Foundation, Inc. Physician Assistant 1500 S. Coulter, Suite 6, Amarillo, TX 79106-1790 2006-07-12
1225646409 Kiranmayi Navaneethakrishnan Physician Assistant 1901 Medi Park Dr Ste 2001, Amarillo, TX 79106-2108 2020-07-14
1811554694 Skyler Lee Gallegos Physician Assistant 1100 S Coulter St, Amarillo, TX 79106-1836 2019-05-28
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Competitor

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City AMARILLO
Zip Code 79109

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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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