MS. PATRICIA ELIZABETH KELLY (NPI# 1659438976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659438976 |
Entity Type | Individual |
Full Name | MS. PATRICIA ELIZABETH KELLY |
Credential | PA-C |
Practice Address |
116 W Mitchell St Petoskey MI 49770-2324 |
Mailing Address |
12830 Eleanor Ln Charlevoix MI 49720-8998 |
Practice Telephone | 2313482828 |
Mailing Telephone | 2315471817 |
Enumeration Date | 2007-01-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601002635 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720575186 | Patricia Kelly | Physical Therapist | 128 Hampton Dr, Berkeley Heights, NJ 07922-2527 | 2018-04-20 |
1861842908 | Patricia Kelly | Registered Nurse | 9649 Covemeadow Dr, Dallas, TX 75238-1819 | 2016-06-20 |
1124498530 | Patricia Kelly | Registered Nurse | 65 Carman Rd, Scarsdale, NY 10583-6326 | 2015-09-28 |
1568729473 | Patricia Kelly | Social Worker | 6940 N Keating Ave, Lincolnwood, IL 60712-2408 | 2012-04-16 |
1366759532 | Patricia Kelly | Licensed Vocational Nurse | 27 Clinton Rd, Garden City, NY 11530-6338 | 2010-09-08 |
1306080676 | Patricia Ann Kelly | Licensed Practical Nurse | 114 Parsons Rd, Camillus, NY 13031-2144 | 2009-04-29 |
1194924530 | Patricia L Kelly | Psychiatry & Neurology | 2305 Matthew Ave Nw, Albuquerque, NM 87104-3214 | 2007-07-16 |
1023217098 | Patricia Marie Kelly | Specialist | 66 Oak Dr, Calverton, NY 11933-1100 | 2007-07-11 |
1568535045 | Patricia Kelly | Speech-Language Pathologist | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2006-11-15 |
1215015409 | Patricia Ann Kelly | Nurse Practitioner | 5 4th Ave. E, Polson, MT 59860 | 2006-11-02 |
Street Address |
116 W MITCHELL ST |
City | PETOSKEY |
State | MI |
Zip Code | 49770-2324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265071211 | Whitney Marie Warner | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2357 | 2019-12-21 |
1699268805 | Spencer Cross | Nurse Practitioner | 116 W Mitchell St, Petoskey, MI 49770-2357 | 2018-06-12 |
1568980787 | Ariana Spiewak | Nurse Practitioner | 116 W Mitchell St, Petoskey, MI 49770-2357 | 2017-09-08 |
1124546684 | Amy Burns | Nurse Practitioner | 116 W Mitchell St, Petoskey, MI 49770-2357 | 2017-09-05 |
1164874616 | Clear The Dermatology Clinic PC | General Practice | 116 W Mitchell St, Petoskey, MI 49770-2357 | 2016-07-08 |
1124410626 | Marisa Rhein | Nurse Practitioner | 116 W Mitchell St, Petoskey, MI 49770-2357 | 2015-02-21 |
1740520980 | Chelsea Navarro | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2357 | 2013-02-26 |
1336456102 | Ryan Planck | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2324 | 2010-09-01 |
1811139082 | Cosmetic Skin and Laser Center | General Practice | 116 W Mitchell St, Petoskey, MI 49770-2324 | 2009-04-02 |
1346406592 | Courtney Griffith-sumpter | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2324 | 2008-08-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
Find all providers in zip 49770 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548639560 | Jessica Ann Wallace | Physician Assistant | 1890 Us Highway 131 Unit 4, Petoskey, MI 49770-8344 | 2015-09-21 |
1801081344 | Nicole Elizabeth Rataj Casady | Physician Assistant | 4170 Cedar Bluff Dr, Petoskey, MI 49770-7627 | 2007-09-07 |
1447350855 | Kurt B Anderson | Physician Assistant | 3280 Woods Way Ste 1, Petoskey, MI 49770-8105 | 2006-09-25 |
1295074128 | Lindsay Ann Potts | Physician Assistant | 560 W Mitchell St, Suite 505, Petoskey, MI 49770-2275 | 2013-02-13 |
1336456102 | Ryan Planck | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2324 | 2010-09-01 |
1447573126 | Rebecca L. Price | Physician Assistant | 560 W Mitchell St, Suite 400, Petoskey, MI 49770-2275 | 2010-03-09 |
1518114800 | Adam Richard Wilson | Physician Assistant | 2375 Summit Park Dr, Petoskey, MI 49770-8685 | 2008-08-19 |
1346406592 | Courtney Griffith-sumpter | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2324 | 2008-08-06 |
1568559383 | Sarah A Adams | Physician Assistant | 560 W Mitchell St, Suite 400, Petoskey, MI 49770-2275 | 2006-10-05 |
1053338830 | Kenneth Adams Crockett Jr. | Physician Assistant | 1890 S Us Highway 131, Suite 4, Petoskey, MI 49770-8344 | 2006-07-16 |
Find all providers in PETOSKEY |
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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.