DAVID KELLEY SR. (NPI# 1598175481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598175481 |
Entity Type | Individual |
Full Name | DAVID KELLEY SR. |
Practice Address |
4475 24th Ave. Fort Gratiot MI 48059 |
Mailing Address |
2949 Shorewood Blvd Fort Gratiot MI 48059-3126 |
Practice Telephone | 8103852164 |
Practice Fax Number | 8103852165 |
Mailing Telephone | 8104349802 |
Enumeration Date | 2014-05-01 |
Last Update Date | 2014-05-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5302024206 | MI | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992302277 | David Andrew Kelley I | Pharmacist | 5816 Osage Beach Pkwy Ste 104, Osage Beach, MO 65065-3046 | 2020-10-08 |
1053633305 | David M Kelley | Physical Therapist | 31 Williamstown Road, Lanesboro, MA 01237 | 2010-02-26 |
1427121714 | David R Kelley | Urology | 100 Wason Anenue, Suite 120, Springfield, MA 01107-1119 | 2006-11-16 |
1083796478 | David Baker Kelley | Internal Medicine | 408 Lilly Rd Ne Ste C, Olympia, WA 98506-6954 | 2006-10-19 |
1184720088 | David J. Kelley | Psychologist | 632 Plank Rd, Suite 209, Clifton Park, NY 12065 | 2006-09-16 |
1174565121 | David B Kelley | Psychologist | 1010 Fir Ln, Lockhart, TX 78644-2059 | 2006-06-12 |
1750367017 | David W. Kelley | Nurse Anesthetist, Certified Registered | 708 E Marshall St, West Chester, PA 19380-4413 | 2005-12-19 |
1447778774 | David C Kelley | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2017-09-07 |
1174830368 | David Kelley | Counselor | 17 Masonic St, Rockland, ME 04841-2808 | 2010-09-09 |
1417112442 | David M Kelley | Family Medicine | 8348 Washington Ave, Racine, WI 53406-3733 | 2008-07-18 |
Street Address |
4475 24TH AVE. |
City | FORT GRATIOT |
State | MI |
Zip Code | 48059 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679096374 | Rebecca Campau | Registered Nurse | 4985 Lakeshore Rd, Fort Gratiot, MI 48059 | 2017-07-25 |
1316110968 | Apheresis and Transfusion Medicine of Port Huron Pllc | Pathology | 4970 Lakeshore Road, Fort Gratiot, MI 48059 | 2008-04-03 |
1275754152 | Jennifer Ann Peyerk | Physical Therapist | 3902 Arlington Ave., Fort Gratiot, MI 48059 | 2007-05-01 |
1013097278 | Randy John Plonka | Internal Medicine | 5979 Lakeshore, Ft Gratiot, MI 48059 | 2006-10-16 |
1881708428 | John Nathan Seppo | Social Worker | 3847 Pine Grove Avenue, Fort Gratiot, MI 48059 | 2006-08-19 |
1396756615 | Blue Water Family Dentistry PC | Dentist | 4044 24th Ave, Fort Gratiot, MI 48059 | 2006-08-11 |
1720018823 | Minden City Community Healthcare Outreach | Clinic/Center | 28 Deer Creek Drive, Fort Gratiot, MI 48059 | 2006-07-04 |
1982103966 | Luke Michael Privette | Physical Therapist | 4351 24th Ave Ste 1, Fort Gratiot, MI 48059 | 2018-02-06 |
1194115352 | Rachel Brooks | Chiropractor | 2844 Krafft Rd, Fort Gratiot, MI 48059 | 2015-01-27 |
1063697506 | C & T Enterpirses, Inc. | Optometrist | 3957 24th Ave, Fort Gratiot, MI 48059 | 2008-01-03 |
Find all providers in zip 48059 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841600244 | Gary Osburn | Pharmacist | 4775 24th Ave, Fort Gratiot, MI 48059-3405 | 2014-05-07 |
1225448137 | Susan Wagenschutz | Pharmacist | 4775 24th Ave, Fort Gratiot, MI 48059-3405 | 2014-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
1598249492 | Kayvon Anthony Parvizi | Pharmacist | G-2333 Center Rd, Burton, MI 48519 | 2018-09-18 |
1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
1407396831 | Michael Keller | Pharmacist | 6329 Red Rock Ct, Norton Shores, MI 49444-8794 | 2017-03-04 |
1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
1720494529 | Shelby Chopp | Pharmacist | 64670 Windrose Way, Lawton, MI 49065-9238 | 2014-07-01 |
1124431879 | Ann E Ziel | Pharmacist | 2799 10 Mile Rd Ne # Rde, Rockford, MI 49341-9100 | 2014-06-10 |
1316350887 | Jeffrey John Wieczorek | Pharmacist | 9416 Wildwood Lake Dr, Whitmore Lake, MI 48189-9430 | 2014-06-03 |
1467863993 | Tom Zoyiopoulos | Pharmacist | 1201 Lears, Indian River, MI 49749 | 2014-05-19 |
1063823698 | Waqas Akhtar | Pharmacist | 316 N Drake Rd, Kalamazoo, MI 49009-1106 | 2014-05-16 |
Find all providers with the same taxonomy |
City | FORT GRATIOT |
Zip Code | 48059 |
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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.