KELLY SUE HARGIS (NPI# 1508151192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508151192 |
| Entity Type | Individual |
| Full Name | KELLY SUE HARGIS |
| Practice Address |
24994 E Fishback Rd Marshall IL 62441-4695 |
| Practice Telephone | 2172645355 |
| Mailing Telephone | 2172645355 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
24994 E FISHBACK RD |
| City | MARSHALL |
| State | IL |
| Zip Code | 62441-4695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315806 | Jacob Hoelscher | Pharmacist | 108 Kyden Drive, Marshall, IL 62441 | 2020-10-30 |
| 1023678521 | Human Resources Center of Edgar and Clark Counties | Counselor | 406 North 2nd Street, Marshall, IL 62441 | 2019-06-17 |
| 1760950737 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 1602 Il Hwy 1, Marshall, IL 62441 | 2018-11-08 |
| 1679793871 | Anita Yvonne Eirhart | Massage Therapist | 1408 N Michigan Ave, Marshall, IL 62441 | 2007-04-27 |
| 1285851188 | Wellum Chiropractic Center Inc | Chiropractor | 1602 Illinois Hwy 1, Marshall, IL 62441 | 2007-04-20 |
| 1902940513 | Marilyn Sue Patton | Massage Therapist | 121 South 6th Street, Suite B, Marshall, IL 62441 | 2007-02-16 |
| 1760536148 | William Lee King | Chiropractor | 511 Locust Street, Marshall, IL 62441 | 2007-01-22 |
| 1558455964 | Alan D Reed | Pharmacy | 813 N 2nd St, Marshall, IL 62441 | 2006-10-03 |
| 1619981081 | William O Worthington | Physical Therapist | 410 N Second Street, Marshall, IL 62441 | 2006-07-28 |
| 1063012813 | Erica Diane Weber | Pharmacist | 108 Kyden Drive, Marshall, IL 62441 | 2020-10-30 |
| Find all providers in zip 62441 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962678912 | Barbara Anne Cates | Contractor | 280 Dakota Rd, Marshall, AR 72650-8363 | 2008-04-30 |
| 1811194707 | Doreen Marie Hazel Hart | Contractor | 15040 21 Mile Rd, Marshall, MI 49068-8108 | 2007-07-02 |
| 1487875811 | Janice Larue Dudley | Contractor | 2500 Karnack Hwy, Marshall, TX 75672-2148 | 2007-05-02 |
| 1689717290 | Alejandro Botello I | Contractor | 114 Fairview St, Marshall, TX 75672-7757 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958607 | Letisha Smith | Contractor | 1921 Michigan City Rd Apt 1e, Calumet City, IL 60409-3724 | 2020-09-29 |
| 1184249088 | Yanko I Stoykov | Contractor | 1807 W Locust Ln, Mt Prospect, IL 60056-4405 | 2020-06-16 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245864784 | Kendall Divante Leonard | Contractor | 524 N Roberts Dr Apt 2b, Glenwood, IL 60425-2300 | 2020-02-24 |
| 1477185379 | Azar Garayev | Contractor | 300 Hudson Ct Apt 106, Wheeling, IL 60090-3184 | 2020-02-07 |
| 1578031183 | Yesenia Servin | Contractor | 2 Westbrook Corporate Ctr Ste 600, Westchester, IL 60154-5716 | 2018-11-13 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1710482542 | Lanisha Blockmon | Contractor | 8214 S Evans Ave, Chicago, IL 60619-5306 | 2018-03-25 |
| 1487157913 | Stavone Mcherron | Contractor | 3420 Fountainbleau Dr, Hazel Crest, IL 60429-2257 | 2018-03-12 |
| Find all providers with the same taxonomy | ||||
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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.