GRAHAM M KELLY (NPI# 1477530269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477530269 |
| Entity Type | Individual |
| Full Name | GRAHAM M KELLY |
| Credential | DO |
| Practice Address |
3496 E Lake Lansing Rd Ste. 160 East Lansing MI 48823-2288 |
| Practice Telephone | 5173715515 |
| Practice Fax Number | 5173715564 |
| Mailing Telephone | 5173715515 |
| Mailing Fax Number | 5173715564 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | GK008737 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3496 E LAKE LANSING RD STE. 160 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285264366 | Kaitlin Nicolle Hurley | Counselor | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2020-01-17 |
| 1326286675 | Michael C Kennerly | Physician Assistant | 3496 E Lake Lansing Rd, Suite 100, East Lansing, MI 48823-2288 | 2009-01-24 |
| 1558508283 | Judith E Daoust | Physician Assistant | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2009-01-16 |
| 1144489659 | Robert Lacy | General Practice | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2008-06-09 |
| 1063685550 | Kimberly Garcia | Physician Assistant | 3496 E Lake Lansing Rd, Suite 160, East Lansing, MI 48823-2288 | 2008-04-07 |
| 1508036856 | Diana Marble | Nurse Practitioner | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2008-03-03 |
| 1336325356 | Mian Qayyum | Pediatrics | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2008-01-22 |
| 1750565131 | William Warren | Emergency Medicine | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2007-12-21 |
| 1710166855 | Paul Piper | General Practice | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2007-10-25 |
| 1437348760 | Muhammad Mustafa | General Practice | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2007-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730740507 | Hannah Finnerty | Family Medicine | 2852 Eyde Pkwy Ste 175, East Lansing, MI 48823-5378 | 2019-06-24 |
| 1588158869 | Ralph A. Harvey Md, Pllc | Family Medicine | 1350 E Lake Lansing Rd Ste C, East Lansing, MI 48823-7413 | 2018-06-19 |
| 1972999365 | Jennifer Renee Mccaskill | Family Medicine | 2900 Hannah Blvd Ste 216, East Lansing, MI 48823 | 2015-04-13 |
| 1124111026 | Full Spectrum Family Medicine PC | Family Medicine | 2025 Abbot Rd, Suite 100, East Lansing, MI 48823-8573 | 2006-10-02 |
| 1972609683 | Mary Elizabeth Thorne | Family Medicine | 1280 Chartwell Carriage Way North, East Lansing, MI 48823-2404 | 2006-09-16 |
| 1477658565 | William Holding Page-echols | Family Medicine | 2025 Abbott Rd, Suite 100, East Lansing, MI 48823-8573 | 2006-09-13 |
| 1982706560 | Heidi J. Johnson | Family Medicine | 2035 Asher Ct, Suite 200, East Lansing, MI 48823-8480 | 2006-09-02 |
| 1396859013 | Carol Lynn Monson | Family Medicine | 804 Clinical Center, A235, East Lansing, MI 48824 | 2006-08-19 |
| 1689602971 | Michael J Chamot | Family Medicine | 107 Olin Health Center, East Circle Dr, East Lansing, MI 48824-1037 | 2006-06-28 |
| 1346276144 | David Todd Walsworth | Family Medicine | 804 Service Rd # A142, East Lansing, MI 48824-7015 | 2006-06-23 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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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.