DR. C.W. KELLY PARKE (NPI# 1619958485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619958485 |
| Entity Type | Individual |
| Full Name | DR. C.W. KELLY PARKE |
| Credential | M.D. |
| Practice Address |
129 Fleetwood Dr Easley SC 29640-2019 |
| Practice Telephone | 8648554255 |
| Practice Fax Number | 8648554439 |
| Mailing Telephone | 8648554255 |
| Mailing Fax Number | 8648554439 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 28367 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 283678 | 05 |
| Street Address |
129 FLEETWOOD DR |
| City | EASLEY |
| State | SC |
| Zip Code | 29640-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245252113 | Foothills Cardiology Associates Pa | Internal Medicine | 129 Fleetwood Dr, Easley, SC 29640-2019 | 2006-07-23 |
| 1174587844 | Aftab A Awan | Internal Medicine | 129 Fleetwood Dr, Easley, SC 29640-2019 | 2006-04-12 |
| 1437110673 | Zahid Ali | Internal Medicine | 129 Fleetwood Dr, Easley, SC 29640-2019 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1417309451 | Ashby Park Pediatric Dentistry Easley | Dentist | 708 North A Street, Easley, SC 29640 | 2016-07-01 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
| 1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| Find all providers in zip 29640 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750744082 | Julie Ann Haas | Specialist | 139 Rolling Hills Cir, Easley, SC 29640-7109 | 2016-04-04 |
| 1003197716 | Kingdom Deliverance Ministries | Specialist | 910 Pelzer Hwy, Easley, SC 29642-2934 | 2011-09-08 |
| 1225042203 | Foothills Bariatric and Wellness Center | Specialist | 5284 Calhoun Memorial Hwy Ste K, Easley, SC 29640-3886 | 2006-07-28 |
| 1053383018 | Robert M. Clayton Jr. | Specialist | 201 Richard St, Easley, SC 29640-1442 | 2006-02-03 |
| 1154304632 | Phillip W Saccogna | Specialist | 115 Whitmire Rd, Easley, SC 29640-1426 | 2005-11-29 |
| 1992793780 | Mark James Wasylenko | Specialist | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2005-10-06 |
| 1669476321 | Henry D. Salter IIi | Specialist | 309 E 1st Ave, Easley, SC 29640-3040 | 2005-06-10 |
| 1306160718 | Robert Scot Thompson | Specialist | 1661 E Main St, Easley, SC 29640-3791 | 2010-03-15 |
| 1104140524 | Tonja A Cassell | Specialist | 1661 E Main St, Easley, SC 29640-3791 | 2010-03-15 |
| 1376715797 | Foothills Urology | Specialist | 403 Hillcrest Dr, Suite A, Easley, SC 29640-1207 | 2008-03-26 |
| Find all providers in EASLEY | ||||
Please comment or provide details below to improve the information on DR. C.W. KELLY PARKE.
| 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.