KELLY MCDONOUGH (NPI# 1578859872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578859872 |
| Entity Type | Individual |
| Full Name | KELLY MCDONOUGH |
| Credential | DO |
| Practice Address |
101 Dudley St Providence RI 02905-2401 |
| Mailing Address |
101 Dudley St Pho Office Providence RI 02905-2401 |
| Practice Telephone | 4012741122 |
| Practice Fax Number | 4014537597 |
| Mailing Telephone | 4012741122 |
| Mailing Fax Number | 4014537597 |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | LP02223 | RI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255577854 | Kelly Anne Mcdonough | Specialist | 8460 Parsons Blvd, Jamaica, NY 11432-2544 | 2009-01-02 |
| 1336365279 | Kelly R Mcdonough | Physical Therapist | 11293 N M 37 Ste B, Buckley, MI 49620-9593 | 2007-04-18 |
| 1326261900 | Kelly Franklyn Mcdonough | Dentist | 19 Monarch Bay Plz, Dana Point, CA 92629-3424 | 2007-04-11 |
| 1831195528 | Kelly Neaves Mcdonough | Radiology | 2601 Kelley Pointe Pkwy, Ste 101, Edmond, OK 73013-2996 | 2005-06-27 |
| 1881080232 | Kelly Lelia Mcdonough | Nurse Practitioner | 800 E 28th St, Minneapolis, MN 55407-3723 | 2015-04-13 |
| Street Address |
101 DUDLEY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613244 | Martin Keszler | Pediatrics | 101 Dudley St, Providence, RI 02905-2401 | 2005-07-20 |
| 1326647959 | Deborah Ruth Shaffer | Advanced Practice Midwife | 101 Dudley St, Providence, RI 02905-2401 | 2020-10-24 |
| 1104449891 | Women & Infants Hospital of Rhode Island | Clinical Medical Laboratory | 101 Dudley St, Providence, RI 02905-2401 | 2020-05-28 |
| 1235751959 | Katherine Mariah Crawford | Genetic Counselor, MS | 101 Dudley St, Providence, RI 02905-2401 | 2020-05-15 |
| 1265061089 | Cassie Laurine Hobbs | Student in an Organized Health Care Education/Training Program | 101 Dudley St, Providence, RI 02905-2401 | 2020-04-03 |
| 1336776343 | Ogechukwu Francisca Uwanaka | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-27 |
| 1841827193 | Patricia Giglio Ayers | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-26 |
| 1205463783 | Alicia Marina Youssef | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-25 |
| 1912534330 | Alicia Esther Hersey | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-25 |
| 1932736220 | Allan Bo Huang | Student in an Organized Health Care Education/Training Program | 101 Dudley St, Providence, RI 02905-2499 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1346856382 | Carly Danielle Masse | Student in an Organized Health Care Education/Training Program | 350 Eddy St, Providence, RI 02903-4202 | 2020-09-16 |
| 1194337220 | Shannon Adams | Student in an Organized Health Care Education/Training Program | Brown University Box G-9999, Providence, RI 02912-0001 | 2020-08-19 |
| 1023647534 | Mary Reedy | Student in an Organized Health Care Education/Training Program | 17 University Ave, Providence, RI 02906-4121 | 2020-04-06 |
| 1730747502 | Kristian Georgiev | Student in an Organized Health Care Education/Training Program | Brown University Box G-9525, Providence, RI 02912-0001 | 2019-06-05 |
| 1053975896 | Chad Simon | Student in an Organized Health Care Education/Training Program | 70 Kennedy Plz Unit 2, Providence, RI 02903-2000 | 2019-04-26 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1134616055 | Muyide Olujola Satiregun | Student in an Organized Health Care Education/Training Program | 252 Dudley St, Providence, RI 02907-1011 | 2018-04-16 |
| 1659887503 | Michele Tracy Diamond | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave Bldg 2, Providence, RI 02908-4734 | 2017-12-14 |
| 1851821268 | Jia Jennifer Ding | Student in an Organized Health Care Education/Training Program | 101 Dudley St Ste 1440, Providence, RI 02905-2401 | 2017-06-18 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on KELLY MCDONOUGH.
| 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.