DR. KATHLEEN A KELLY


Address: 44 E Mifflin St, Ste 204, Madison, WI 53703-2895
Phone: 6082560499

DR. KATHLEEN A KELLY (NPI# 1467455147) 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) 1467455147
Entity Type Individual
Full Name DR. KATHLEEN A KELLY
Credential D.D.S.
Practice Address 44 E Mifflin St
Ste 204
Madison
WI 53703-2895
Practice Telephone 6082560499
Practice Fax Number 6082560577
Mailing Telephone 6082560499
Mailing Fax Number 6082560577
Enumeration Date 2005-05-24
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
5001920-015 WI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 33374700 05

Other Providers KATHLEEN KELLY

NPI Name Taxonomy Address Enumeration
1295335511 Kathleen Kelly Social Worker 1672 S Ocean Ln Apt 155, Fort Lauderdale, FL 33316-3341 2020-10-27
1699226415 Kathleen Ann Kelly Clinical Medical Laboratory David Geffen Medical Ctr Ucla 10833 Le Conte Ave, Mailroom A3-215 Chs, Mailcode 173216, Los Angeles, CA 90095-1732 2016-10-17
1033510359 Kathleen P Kelly Licensed Practical Nurse 25 Rogers Pl, Hyde Park, NY 12538-1112 2014-09-05
1730522418 Kathleen Kelly Registered Nurse 319 Middlesex Rd, Buffalo, NY 14216-3140 2013-04-11
1528328432 Kathleen Marie Kelly Behavioral Analyst 1031 S Crescent Heights Blvd, Los Angeles, CA 90035-2632 2012-05-24
1013241512 Kathleen Marie Kelly Psychologist #1670 Calle Georgina Volga, Urb. Reparto De Diego, San Juan, PR 00926-9998 2009-09-30
1174739882 Kathleen Petrie Kelly Physical Therapist 4 Kildare Walk, Rockaway Point, NY 11697-1708 2007-05-16
1073664710 Kathleen Lorraine Kelly Counselor 1070 W. Horizon Ridge Pkwy., Suite 200, Henderson, NV 89012-6019 2007-01-16
1811062839 Kathleen Kelly Nurse Practitioner 55 Fruit Street Yaw 4b, Boston, MA 02114-2696 2006-11-22
1295208999 Kathleen Kelly Registered Nurse 41521 W 11 Mile Rd, Novi, MI 48375-1803 2019-01-04

Office Location

Street Address 44 E MIFFLIN ST
STE 204
City MADISON
State WI
Zip Code 53703-2895

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255828034 Madison Physical Therapy & Consulting, LLC Physical Therapist 44 E Mifflin St, Madison, WI 53703-4205 2018-04-17
1407392897 Jeffrey Dachauer Massage Therapist 44 E Mifflin St, Madison, WI 53703-4205 2017-01-10
1285859405 Tiffany Susan Virag Physical Therapist 44 E Mifflin St, Suite 10, Madison, WI 53703-4205 2007-04-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689291254 Lynne's Moc, LLC Optometrist 512 State Street, Madison, WI 53703 2020-06-30
1407327844 Deborah Ann Pape Psychologist 350 S. Hamilton St., Unit 504, Madison, WI 53703 2018-12-11
1336660216 Kevin Shuai Lian Radiology 420 W Dayton St Unit 1142, Madison, WI 53703 2017-06-30
1295279461 Colin T Graney Podiatrist 664 W. Washington Ave, Madison, WI 53703 2016-12-07
1093193690 Ashley Przybilla Pediatrics Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 2015-05-14
1043606841 Kevin P Emmerich Emergency Medicine 390 West Johnson St, Madison, WI 53703 2015-04-09
1376983155 Ann Renee Wingate Counselor 16 N. Hancock Street, Hancock Center, Madison, WI 53703 2013-06-26
1013269398 See Inc Optometrist 437 State St, Madison, WI 53703 2012-10-10
1518243237 Nathan Dufault Specialist/Technologist 305 S. Livingston St., Madison, WI 53703 2011-10-26
1518264142 Candice Y Lewis Health Maintenance Organization 675 W.washington Ave. Group Health Cooperative of South, Madison, WI 53703 2011-02-17
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700496007 Elizabeth R Friend Dentist 440 Science Dr Ste 100, Madison, WI 53711-1064 2020-08-03
1841817657 Kimberly Nicole Lee Dentist 105 Broadmoor Dr, Madison, MS 39110-6651 2020-06-26
1831713213 Scarlett La'ree Johnson Dentist 155 Millhouse Dr, Madison, MS 39110-6964 2020-06-02
1447899653 Say Ahh Family and Cosmetic Dentistry LLC Dentist 7559 Highway 72 W Ste 105a105b, Madison, AL 35758-8811 2020-01-06
1982245395 Treehouse Children's Dentistry, LLC Dentist 7559 Highway 72 W Ste 108, Madison, AL 35758-8816 2019-10-07
1205480423 Abtin Iranmanesh Dentist 7564 Highway 72 W Ste C, Madison, AL 35758-9437 2019-07-25
1396238226 Nathalie M Gomez-leon Dentist 7278 Highway 72 W Ste A, Madison, AL 35758-9551 2018-06-14
1164915518 Lauren Faustmann Dentist 20 Hughes Rd # 104, Madison, AL 35758-2237 2018-06-11
1669963518 Fahad Al-fadhli Dentist 109 Sycamore Rdg, Madison, MS 39110-7333 2018-05-27
1346752441 Pignataro Family Dentistry, PC Dentist 7950 Highway 72 W Ste F, Madison, AL 35758-6420 2017-10-30
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Competitor

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City MADISON
Zip Code 53703

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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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