DAVID KELLEY SR.


Address: 4475 24th Ave., Fort Gratiot, MI 48059
Phone: 8103852164

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
5302024206 MI Pharmacy Service Providers

Other Providers DAVID KELLEY

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

Office Location

Street Address 4475 24TH AVE.
City FORT GRATIOT
State MI
Zip Code 48059

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City FORT GRATIOT
Zip Code 48059

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Dataset Information

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.

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