DR. MICHAEL JESSE KELLIHAN (NPI# 1629528641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629528641 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JESSE KELLIHAN |
| Credential | PHARM.D. |
| Practice Address |
4139 Cadillac Ct Suite 201 Louisville KY 40213-1578 |
| Practice Telephone | 5024250500 |
| Mailing Telephone | 5026499615 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
7740 | KY | Pharmacy Service Providers |
| Street Address |
4139 CADILLAC CT SUITE 201 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40213-1578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093704082 | Gabor G Nemeth | Ophthalmology | 4139 Cadillac Ct, Suite 200, Louisville, KY 40213-1578 | 2005-10-21 |
| 1801345111 | New Vitalis, LLC | Pharmacy | 4139 Cadillac Ct, Suite 201, Louisville, KY 40213-1578 | 2016-09-27 |
| 1760607022 | Robert I Orendorf | Physical Therapist | 4139 Cadillac Ct, Louisville, KY 40213-1578 | 2007-04-13 |
| 1457457798 | Housecalls of America, Inc. | Case Management | 4139 Cadillac Ct, Suite 100, Louisville, KY 40213-1578 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487130076 | Latonia Cheeks | Counselor | 4835 Poplar Level Rd Ste. 110, Louisville, KY 40213 | 2018-07-17 |
| 1225553431 | Kandace Ratterman | Case Manager/Care Coordinator | 4814 Kingfisher Way, Louisville, KY 40213 | 2017-08-08 |
| 1700338456 | Ann Devos | Physician Assistant | 3303 Fern Valley Road, Louisville, KY 40213 | 2016-10-28 |
| 1124426275 | Rebecca Sue Jenkins | Home Health Aide | 3523 Whippoorwill Rd, Louisville, KY 40213 | 2014-12-05 |
| 1053518308 | Gabor Ambrus | Pathology | 4500 Conaem Drive, Louisville, KY 40213 | 2007-06-29 |
| 1760504724 | Benjamin Francis Robinson | Chiropractor | 4919h Dixie Highway, Louisville, KY 40213 | 2007-04-03 |
| 1790814408 | Howard L Green | Dentist | 3813 Poplar Level Rd, Louisville, KY 40213 | 2007-03-06 |
| 1063587970 | Roy Hyman | Optometrist | 5202 Preston Hwy, Louisville, KY 40213 | 2006-11-24 |
| 1689769291 | James H Kidwell | Psychologist | 1448 Gardiner Lane, Suite 202 203, Louisville, KY 40213 | 2006-10-03 |
| 1366556524 | Harris & Harris Dmd Psc | Dentist | 5014 Preston Hwy, #b, Louisville, KY 40213 | 2006-08-17 |
| Find all providers in zip 40213 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417528 | Monica Ann Elswick | Pharmacist | 4913 Carriage Pass Pl, Louisville, KY 40299-6638 | 2020-11-02 |
| 1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1841797560 | Bhavyata Parag | Pharmacist | 530 S Jackson St Apt 111, Louisville, KY 40202-1675 | 2018-04-09 |
| 1588910905 | Gayatri Singh | Pharmacist | 900 Eldorado Lane, Louisville, CO 80027-3107 | 2012-08-03 |
| 1083868947 | Esen Apak Stephens | Pharmacist | 9819 White Blossom Blvd, Louisville, KY 40241-4181 | 2008-11-05 |
| 1477154649 | Kristopher Waller | Pharmacist | 3165 S 2nd St, Louisville, KY 40208-1446 | 2020-11-04 |
| 1083214290 | Kristin Scarboro | Pharmacist | 3039 Breckenridge Ln, Louisville, KY 40220-2101 | 2020-10-27 |
| 1811596893 | Melina Irene Digenis | Pharmacist | 9440 Brownsboro Rd, Louisville, KY 40241-1200 | 2020-10-21 |
| 1467051417 | William K Harmon | Pharmacist | 9080 Taylorsville Rd, Louisville, KY 40299-1750 | 2020-10-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40213 |
Please comment or provide details below to improve the information on DR. MICHAEL JESSE KELLIHAN.
| 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.