MORGAN BROOKE KELLY (NPI# 1477178184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477178184 |
Entity Type | Individual |
Full Name | MORGAN BROOKE KELLY |
Practice Address |
604 N Magnolia Ave Ste 100 Clovis CA 93611-9205 |
Mailing Address |
2625 E Divisadero St Fresno CA 93721-1431 |
Practice Telephone | 5593200531 |
Mailing Telephone | 5594432682 |
Mailing Fax Number | 5594432681 |
Enumeration Date | 2020-06-09 |
Last Update Date | 2020-10-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922558378 | Morgan Jewell Kelly | Counselor | 1140 Kildaire Farm Road, Suite 200, Room 9, Cary, NC 27511 | 2016-10-10 |
1104446566 | Morgan Kelly | Counselor | 8755 Aero Dr Ste 230, San Diego, CA 92123-1750 | 2020-04-25 |
1629606595 | Morgan Elizabeth Kelly | Student in an Organized Health Care Education/Training Program | 550 16th St Fl Hall4, San Francisco, CA 94143-2549 | 2020-03-27 |
1356906523 | Morgan Kelly | Behavior Technician | 1765 Sw Captains Pl, Palm City, FL 34990-1747 | 2019-05-03 |
1679027429 | Morgan Kelly | Physical Therapist | 3607 Manchaca Rd, Austin, TX 78704-5947 | 2016-08-10 |
Street Address |
604 N MAGNOLIA AVE STE 100 |
City | CLOVIS |
State | CA |
Zip Code | 93611-9205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124025325 | Eric Michael Lindvall | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2005-07-01 |
1679196133 | Micah Pinasco | Nurse Practitioner | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2020-05-19 |
1548899313 | Travis Dillon Brown | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2020-04-03 |
1134766868 | Caroline Theresa Urbanek | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2019-12-02 |
1588223762 | Christina M Furrer | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2019-06-11 |
1346732658 | Daniel Patrick Cassell | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2018-06-01 |
1033655238 | Joshua May | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2017-01-11 |
1811390370 | Andrew Gutowski | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2014-09-29 |
1962813741 | Lucas Seiler | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2014-05-14 |
1689096786 | Michael Charles | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2014-01-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
Find all providers in zip 93611 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225678543 | Charla Marie Dunn | Physician Assistant | 701 Arizona St Ste A, Clovis, NM 88101-2110 | 2020-01-14 |
1689110066 | Tasha R Cockrum | Physician Assistant | 729 N Medical Center Dr W Ste 101, Clovis, CA 93611-6880 | 2017-01-10 |
1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
1851739106 | Jennifer Anne Dobrinen | Physician Assistant | 964 N Bush Ave, Clovis, CA 93611-7125 | 2013-06-10 |
1184871113 | Jessica Rodriguez Ohanesian | Physician Assistant | 2755 Herndon Ave., Clovis, CA 93611-0000 | 2008-08-21 |
1518004308 | Tony Reid | Physician Assistant | 255 W Bullard Ave Ste 109, Clovis, CA 93612-0861 | 2007-01-31 |
1407965478 | Patricia Lynn Bartel | Physician Assistant | 221 W Fir Ave Ste 101, Clovis, CA 93611 | 2006-08-30 |
1255375903 | Charles Daniel Otero | Physician Assistant | 701 Arizona St, Suite A, Clovis, NM 88101-2110 | 2006-06-15 |
1902865066 | Rajib Das | Physician Assistant | 1934 N Whiteash Ave, Clovis, CA 93619-9509 | 2006-03-18 |
1891309688 | Kyrian C Obidiegwu | Physician Assistant | 2021 Herndon Ave # 101, Clovis, CA 93611-6316 | 2020-08-31 |
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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.