KELLY WILSON


Address: 8848 Gloralee St, Anchorage, AK 99502
Phone: 9073508091

KELLY WILSON (NPI# 1447736798) 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) 1447736798
Entity Type Individual
Full Name KELLY WILSON
Practice Address 8848 Gloralee St
Anchorage
AK 99502
Mailing Address 8848 Gloralee St
Anchorage
AK 99502-5135
Practice Telephone 9073508091
Mailing Telephone 9078682655
Enumeration Date 2018-07-18
Last Update Date 2018-07-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Providers KELLY WILSON

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1720694086 Kelly Wilson Dietitian, Registered 6865 Hitchingham Rd, Ypsilanti, MI 48197-8998 2020-09-21
1992144372 Kelly Wilson Specialist/Technologist 4241 Quail Hollow Cir, Cuyahoga Falls, OH 44224-5124 2013-06-19
1689903593 Kelly Elizabeth Wilson Occupational Therapist 1522 Morris Ave, Norfolk, VA 23509-1217 2009-12-24
1407023591 Kelly Wilson Psychologist 13875 Highway 13 S, Suite 275, Savage, MN 55378-2136 2008-05-08
1841330768 Kelly Brooks Wilson Dentist 2201 S Blvd, Suite 210, Charlotte, NC 28203-6208 2007-02-08
1275688137 Kelly L Wilson Social Worker 200 N Congress St, Suite 100, Jackson, MS 39201-1902 2007-01-23
1538255344 Kelly E Wilson Specialist 7400 Fannin Suite 930, Houston, TX 77054 2006-10-05
1942283551 Kelly W Wilson Obstetrics & Gynecology 220 East Harris Avenue, San Angelo, TX 76903 2005-11-29
1023646858 Kelly Comolli Wilson Student in an Organized Health Care Education/Training Program Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, NC 27157-0001 2020-03-28
1528619160 Kelly Ann Wilson Student in an Organized Health Care Education/Training Program 2008 N Garey Ave, Pomona, CA 91767-2722 2019-09-25

Office Location

Street Address 8848 GLORALEE ST
City ANCHORAGE
State AK
Zip Code 99502

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073157897 Thelma Desjarlais Case Manager/Care Coordinator 9201 Shorecrest Drive, Anchorage, AK 99502 2019-11-05
1659851038 Vonice LLC Pharmacy 4311 W Lake Cir, Anchorage, AK 99502 2018-08-15
1912405770 In His Image LLC Custodial Care Facility 2253 Mistybrook Cir, Anchorage, AK 99502 2018-01-26
1316344963 Alaska Regional Life Flight Corporation Ambulance 3474 Old International Airport Road, Anchorage, AK 99502 2014-11-25
1164827101 Dante Kun Counselor 8000 West End Rd. (pt. Woronzof), Anchorage, AK 99502 2014-11-04
1407256357 Kayli Ellingson Pharmacist 7020 Northwood Drive, 102, Anchorage, AK 99502 2014-08-28
1801168620 Mckenzie Assisted Living Clinic/Center 8812 Hamlet Circle, 8812 Hamlet Circle, Anchorage, AK 99502 2012-02-09
1568623106 South Anchorage Dental Clinic LLC Dental Assistant 9170 Jewel Lake Road, Suite 201, Anchorage, AK 99502 2008-06-17
1154580611 Tonia Marie Taylor Assisted Living Facility 2821 Ruby Drive, Anchorage, AK 99502 2008-06-09
1114190824 Surgery Assistants of Alaska LLC Clinic/Center 9150 Jewel Lake Road Ste B, Anchorage, AK 99502 2008-04-03
Find all providers in zip 99502

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578164042 Liveable Soulutions Assisted Living Facility 1504 W 47th Ave Unit B, Anchorage, AK 99503-6924 2020-11-02
1699372656 Kathleen Corleto Assisted Living Facility 3180 Amanda Gayle Cir, Anchorage, AK 99507-2602 2020-10-02
1336754969 Snow City Assisted Living Home, LLC Assisted Living Facility 2634 Carroll Pl Unit B, Anchorage, AK 99508-3821 2020-09-10
1750991733 Uba Alh Assisted Living Facility 6730 E 10th Ave, Anchorage, AK 99504-1814 2020-08-05
1184233116 Mckinley Care LLC Assisted Living Facility 337 E 4th Ave Unit B, Anchorage, AK 99501-2664 2020-07-27
1154949949 Patrick L Sullivan Assisted Living Facility 3314 Dickson Rd, Anchorage, AK 99504-4035 2020-07-08
1699392035 Open Arms Assisted Living West LLC Assisted Living Facility 3660 W 78th Ave, Anchorage, AK 99502-4471 2020-07-01
1760004998 Guardian Angel Assisted Living Facility 8403 Mentra St, Anchorage, AK 99518-2906 2020-05-11
1235761230 Golden Years LLC Assisted Living Facility 2941 Morgan Loop, Anchorage, AK 99516 2020-02-07
1710528435 A Legacy Home Care, LLC Assisted Living Facility 6347 Rose Hip Cir, Anchorage, AK 99507-5457 2019-10-03
Find all providers in ANCHORAGE

Competitor

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City ANCHORAGE
Zip Code 99502

Improve Information

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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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