KELLY LYNN HILEMAN (NPI# 1598328817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598328817 |
| Entity Type | Individual |
| Full Name | KELLY LYNN HILEMAN |
| Credential | LMT |
| Practice Address |
511 W Ruby St Conway MO 65632-9623 |
| Practice Telephone | 4175894400 |
| Mailing Telephone | 4175894400 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2007030565 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386006476 | Kelly Hileman | Licensed Practical Nurse | 474 N Yellow Springs St, Springfield, OH 45504-2463 | 2016-03-28 |
| 1811289291 | Kelly Sue Hileman | Licensed Practical Nurse | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2011-05-04 |
| Street Address |
511 W RUBY ST |
| City | CONWAY |
| State | MO |
| Zip Code | 65632-9623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144416330 | Conway Family Clinic, Inc. | Clinic/Center | 301 S. Newport, Conway, MO 65632 | 2007-09-20 |
| 1679691117 | Humble Hearts Care Service | Day Training/Habilitation Specialist | 652 State Rd M, Conway, MO 65632 | 2007-03-26 |
| 1982680799 | Suzanne Thompson | Nurse Practitioner | 601 W. Jefferson St., Suite C, Conway, MO 65632 | 2005-12-22 |
| 1164408399 | Deanna M Twyman | Nurse Practitioner | 301 South Newport Avenue, Conway, MO 65632 | 2005-12-20 |
| 1013993898 | Conway Family Clinic, Inc. | Clinic/Center | 301 South Newport Avenue, Conway, MO 65632-0009 | 2005-12-22 |
| 1285063016 | Laclede County R-i School District | Local Education Agency (LEA) | 726 W Jefferson Ave, Conway, MO 65632-8206 | 2013-11-02 |
| 1194282376 | Lori Ann Hyde | Speech-Language Pathologist | 209 S Shiloh Ave, Conway, MO 65632-8238 | 2019-02-25 |
| 1952765695 | Mitzi Gerretsen | Nurse Practitioner | 301 S Newport Ave, Conway, MO 65632-8322 | 2016-04-08 |
| 1235759093 | Kendra Mcmillion | Nurse Practitioner | 301 S Newport Ave, Conway, MO 65632-8322 | 2020-04-22 |
| 1659517613 | John R Strobel | Specialist/Technologist, Other | 520 Starvey Creek Rd, Conway, MO 65632-8606 | 2008-12-22 |
| Find all providers in zip 65632 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661412 | Brittany Nicole Young | Massage Therapist | 9 Panther Rd, Conway, AR 72032-9709 | 2020-08-28 |
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1285118133 | An Angels Touch Bodyworks, LLC | Massage Therapist | 607 Harkrider St Ste 5, Conway, AR 72032-5692 | 2018-09-17 |
| 1255844346 | James Brian Phillips | Massage Therapist | 1000 Turnberry Dr, Conway, AR 72034-3561 | 2017-11-10 |
| 1053779934 | Leigh Ann Warriner | Massage Therapist | 7 Medical Ln, Suite B, Conway, AR 72034-4912 | 2016-02-05 |
| 1326446444 | Jennifer Hope Montgomery | Massage Therapist | 119 Waccamaw Medical Park Dr Unit B, Conway, SC 29526-5206 | 2014-12-06 |
| 1801175252 | Stevi Gelinas | Massage Therapist | 24 Pleasant St., Conway, NH 03818 | 2011-08-16 |
| 1073147005 | Julie Herstad Sargent | Massage Therapist | 24 Pleasant St, Conway, NH 03818-6238 | 2020-02-28 |
| 1558846204 | Lea Riley | Massage Therapist | 607 Harkrider St Ste 5, Conway, AR 72032-5692 | 2018-09-28 |
| 1043701501 | Tamara Wood | Massage Therapist | 45 Washington St, Conway, NH 03818-6031 | 2018-05-21 |
| Find all providers in CONWAY | ||||
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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.