KELLY CORNELL (NPI# 1609113422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609113422 |
| Entity Type | Individual |
| Full Name | KELLY CORNELL |
| Other Name | KELLY SUPPLE |
| Practice Address |
655 Main St Walpole MA 02081-3717 |
| Practice Telephone | 5086688900 |
| Mailing Telephone | 5086688900 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2014-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3409 | MA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538612155 | Kelly Anne Cornell | Pharmacist | 815 Frisco Ave, Clinton, OK 73601-3322 | 2016-08-01 |
| Street Address |
655 MAIN ST |
| City | WALPOLE |
| State | MA |
| Zip Code | 02081-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151686 | Shannon Glass-smythe | Physical Therapist | 655 Main St, Walpole, MA 02081-3717 | 2019-08-27 |
| 1598310310 | Nicole Yorra | Physical Therapist | 655 Main St, Walpole, MA 02081-3717 | 2019-08-08 |
| 1568987626 | Thomas Reilly | Physical Therapist | 655 Main St, Walpole, MA 02081-3717 | 2017-08-10 |
| 1770011512 | Jessica Lynch | Physical Therapist | 655 Main St, Walpole, MA 02081-3717 | 2017-05-24 |
| 1942742358 | Patricia Pangaio | Physical Therapist | 655 Main St, Walpole, MA 02081-3717 | 2016-11-16 |
| 1063967859 | Luke Lindsay-brisbin | Physical Therapist | 655 Main St, Walpole, MA 02081-3717 | 2016-08-22 |
| 1528512076 | Meredith Rogazzo | Physical Therapist | 655 Main St, Walpole, MA 02081-3717 | 2016-08-12 |
| 1154875607 | Michael Coyne | Physical Therapist | 655 Main St, Walpole, MA 02081-3717 | 2016-08-12 |
| 1629430657 | Sage Small | Physical Therapist | 655 Main St, Walpole, MA 02081-3717 | 2016-03-29 |
| 1750750261 | Jillian Cleveland | Physical Therapist | 655 Main St, Walpole, MA 02081-3717 | 2015-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740647122 | Nicole Rose Kelley | Specialist | 63 Edgewood Ave, Walpole, MA 02081 | 2016-01-15 |
| 1962886176 | Christina Gironda | Social Worker | 16 Nectar Rd, Walpole, MA 02081 | 2015-07-17 |
| 1578833125 | Audra Louise Cohen | Counselor | 95 West St., Walpole, MA 02081 | 2012-01-12 |
| 1093913048 | Kurt Thomas Herman | Dentist | 841 Maint St, Walpole, MA 02081 | 2007-07-10 |
| 1265654784 | Robert James Memory | Dentist | 841 Main Street, Walpole, MA 02081 | 2007-05-03 |
| 1194811505 | Donald Roy Gedarovich | Internal Medicine | 1426 Main Street, Suite 5, Walpole, MA 02081 | 2006-10-04 |
| 1417050295 | Nancy J Stechler | Psychologist | 1600 Providence Hwy, Walpole, MA 02081 | 2006-09-06 |
| 1386662997 | James G Farnham | Social Worker | Colony Care Behavioral Health, 841 Main Street, Walpole, MA 02081 | 2006-07-18 |
| 1023087848 | Suzanne R Posner | Social Worker | 95 West Street, Walpole, MA 02081 | 2006-03-15 |
| 1821065640 | Boston Healthcare Inc | Clinic/Center | 420 Main St, Suite 15, Walpole, MA 02081 | 2006-03-01 |
| Find all providers in zip 02081 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578650172 | Steven Pena | Chiropractor | 40 Main St., Walpole, NH 03608-0478 | 2006-10-06 |
| 1619920857 | James William Orphan | Chiropractor | 296 Main Street, Walpole, MA 02081-3834 | 2006-05-18 |
| 1043276652 | Diane C Kwasniewski | Chiropractor | 8 Huntington Ln, Walpole, NH 03608-4213 | 2006-04-22 |
| 1386607604 | Joseph Francis Scimone | Chiropractor | 231 Elm St, Walpole, MA 02081-1903 | 2006-04-08 |
| 1770561367 | Michael Goldstein | Chiropractor | 1426 Main St, Walpole, MA 02081 | 2006-01-04 |
| 1962490862 | Catherine Ann Greene | Chiropractor | 869 Main St, Suite One, Walpole, MA 02081-2985 | 2005-10-13 |
| 1902172760 | Ripley Greene PC | Chiropractor | 869 Main St, Walpole, MA 02081-2985 | 2012-03-27 |
| 1992973770 | Walpole Chiropractic Office, Inc. | Chiropractor | 231 Elm St, Walpole, MA 02081-1903 | 2008-02-14 |
| 1508986787 | Holistic Center At Bristol Square Pllc | Chiropractor | 1426 Main St, Suite 6, Walpole, MA 02081-1700 | 2007-03-30 |
| 1265599328 | Eric Lustgarten | Chiropractor | 655 Main St, Walpole, MA 02081-3717 | 2007-01-01 |
| Find all providers in WALPOLE | ||||
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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.