KELLY KATHLEEN DAVIS (NPI# 1659820074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659820074 |
| Entity Type | Individual |
| Full Name | KELLY KATHLEEN DAVIS |
| Other Name | KELLY SCOTT |
| Credential | CRNP |
| Practice Address |
410 Lockerman St Denton MD 21629-1048 |
| Practice Telephone | 4104793075 |
| Practice Fax Number | 8339140407 |
| Mailing Telephone | 1047930754 |
| Mailing Fax Number | 8339140407 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R134802 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 410 Lockerman St, Denton, MD 216291048 | 4104793075 | 4104793405 |
| 8579 Commerce Dr, Suite 106, Easton, MD 216017491 | 4108190404 | 4108190751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081089 | Kelly Davis | Dental Hygienist | 741 Crystal Ln, Strasburg, VA 22657-2373 | 2020-07-31 |
| 1699270637 | Kelly Elise Davis | Student in an Organized Health Care Education/Training Program | 13001 E. 17th Pl., Campus Box F546, Bldg. 500, Room E2322, Aurora, CO 80045 | 2018-03-29 |
| 1891243135 | Kelly Ann Davis | Nurse Anesthetist, Certified Registered | 19446 Parker St, Livonia, MI 48152-1579 | 2016-09-15 |
| 1881049120 | Kelly Ann Davis | Obstetrics & Gynecology | 7447 W Talcott Ave Ste 531, Chicago, IL 60631-3716 | 2016-04-24 |
| 1144611336 | Kelly Davis | Psychologist | 9525 S 93rd East Ave, Tulsa, OK 74133-6160 | 2015-02-10 |
| 1346501202 | Kelly Lynn Davis | Contractor | 18247 W Running Springs Rd, Park Hill, OK 74451-2017 | 2012-06-06 |
| 1518251826 | Kelly Megan Davis | Developmental Therapist | 10025 Hillview Dr Apt 28, Pensacola, FL 32514-5744 | 2011-06-03 |
| 1710271168 | Kelly Denise Davis | Developmental Therapist | 311 Heritage Dr, Mayfield, KY 42066-3432 | 2011-06-02 |
| 1386952307 | Kelly Davis | Speech-Language Pathologist | 2611 S Lees Summit Rd, Independence, MO 64055 | 2010-09-24 |
| 1932414240 | Kelly Lynne Davis | Dietitian, Registered | 1824 State Route 80, New Woodstock, NY 13122-9715 | 2010-08-11 |
| Street Address |
410 LOCKERMAN ST |
| City | DENTON |
| State | MD |
| Zip Code | 21629-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983021 | Denise Maxine Mead | Speech-Language Pathologist | 410 Lockerman St, Denton, MD 21629-1048 | 2018-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
| Find all providers in zip 21629 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629639 | Tania Castleman | Nurse Practitioner | 2028 Chandler Dr, Denton, TX 76209-1616 | 2020-11-03 |
| 1487251765 | Anna Rose Beccone | Nurse Practitioner | 3537 S I 35 E Ste 317, Denton, TX 76210-6870 | 2020-10-08 |
| 1316566599 | Heather Ashley Medaris | Nurse Practitioner | 2800 Frontier Dr, Denton, TX 76210-1200 | 2020-04-08 |
| 1124662028 | Kyle David Motsenbocker | Nurse Practitioner | 2700 Cedar Creek Ln Apt 1226, Denton, TX 76210-2110 | 2019-11-04 |
| 1780148783 | Cassandra Jeanette Gutierrez | Nurse Practitioner | 1119 Collier St Ste 100, Denton, TX 76201-6579 | 2019-01-24 |
| 1679043095 | Yasmin Lakhani | Nurse Practitioner | 2501 Scripture St Ste 103, Denton, TX 76201-2314 | 2018-11-28 |
| 1750879565 | Abisola Abosede | Nurse Practitioner | 1201 Bayfield St, Denton, TX 76209-3547 | 2018-04-26 |
| 1124529490 | Maria Tranquilina Jimenez | Nurse Practitioner | 4206 S Interstate 35 E, Denton, TX 76207 | 2018-02-22 |
| 1477067387 | Jaime Elizabeth Mendez | Nurse Practitioner | 209 N Bonnie Brae St Ste 203, Denton, TX 76201-3748 | 2017-11-30 |
| 1861919144 | Mary Lenore Garcia | Nurse Practitioner | 2435 W. Oak St., Suite 103, Denton, TX 76201 | 2017-08-28 |
| Find all providers in DENTON | ||||
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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.