KELLEY BROWN DAVIS (NPI# 1669079901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669079901 |
Entity Type | Individual |
Full Name | KELLEY BROWN DAVIS |
Practice Address |
2689 Us-1 Elgin SC 29045 |
Mailing Address |
758 Pate Rd Camden SC 29020-8382 |
Practice Telephone | 8034387698 |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
24307 | SC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013551977 | Kelley Davis | Speech-Language Pathologist | 9609 Cypress Way, Carmel, IN 46032-9287 | 2019-11-04 |
1831587047 | Kelley Davis | Speech-Language Pathologist | 3812 Nw Briarwood Dr, Blue Springs, MO 64015-2519 | 2014-12-23 |
1821383803 | Kelley F Davis | Social Worker | 4115 Lake Ave, Rochester, NY 14612-4813 | 2011-06-17 |
1609833771 | Kelley Michelle Davis | Family Medicine | 1251a E Red Bird Ln, Dallas, TX 75241-2008 | 2006-05-01 |
1275144180 | Kelley Davis | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-08-13 |
1043778418 | Kelley Rebecca Davis | Nurse Practitioner | 675 N 5th St Ste 200, Lebanon, OR 97355-2875 | 2019-03-05 |
1023499704 | Kelley Davis | Dietitian, Registered | 2500 Grant Rd, Lpch-4c, Mountain View, CA 94040-4302 | 2015-06-17 |
1104961069 | Kelley M Davis | Specialist/Technologist | 1677 Route 65, Ellwood City, PA 16117-5217 | 2007-02-20 |
Street Address |
2689 US-1 |
City | ELGIN |
State | SC |
Zip Code | 29045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265089494 | Felicity Garrick | Occupational Therapist | 385 Spears Creek Church Road, Elign, SC 29045 | 2019-08-22 |
1629537303 | Traisha White Campfield | Pharmacist | 1107 Ross St, Elgin, SC 29045 | 2019-03-13 |
1922526722 | Talesia Jackson | Specialist/Technologist | 1127 Triple Crown Court, Elgin, SC 29045 | 2017-09-01 |
1649697228 | All South Case Management | Exclusive Provider Organization | 216 Sunday Silence Lane, Elgin, SC 29045 | 2014-03-21 |
1235481151 | Karen C. Taylor | Counselor | 2439 Main Street, Elgin, SC 29045 | 2012-10-03 |
1306135975 | Aftercare Medical Equipment & Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1105 Ross St, Elgin, SC 29045 | 2011-04-04 |
1902032345 | Aftercare Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1107 Ross Street, Elgin, SC 29045 | 2009-05-29 |
1962691592 | Pontiac Pharmacy | Pharmacy | 10535 A Two Notch Rd, Elgin, SC 29045 | 2007-10-19 |
1154529576 | Sarah Jones Disasa | Speech-Language Pathologist | 203 Parrish Walk, Elgin, SC 29045 | 2007-07-06 |
1023176658 | Elgin Pharmacy, Inc. | Pharmacist | 1107 Ross St., Elgin, SC 29045 | 2006-12-05 |
Find all providers in zip 29045 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496328 | Kellie Soria | Nurse Practitioner | 8600 Showers Dr, Elgin, TX 78621-5278 | 2020-10-26 |
1083266878 | Jean K Kombwa | Nurse Practitioner | 66 Grove Ct, Elgin, IL 60120-5588 | 2019-07-11 |
1407416324 | Gloria Benoit Williams | Nurse Practitioner | 889 Royal Oak Way, Elgin, SC 29045-8012 | 2019-06-13 |
1538681671 | Josephina Pilolli | Nurse Practitioner | 2490 Bushwood Dr, Unit F, Elgin, IL 60124 | 2017-07-11 |
1598204638 | Kimberly Horton | Nurse Practitioner | 153 Dawson Dr, Elgin, IL 60120-6409 | 2017-02-22 |
1073961314 | Annie Kluch | Nurse Practitioner | 801 Villa St, Elgin, IL 60120-8001 | 2016-05-26 |
1639543937 | Grace Marie Roxas | Nurse Practitioner | 2025 Salem Road, Elgin, IL 60123-9006 | 2015-11-24 |
1942674585 | Monica Rose Herdrich | Nurse Practitioner | 1665 Larkin Ave, Elgin, IL 60123-5977 | 2015-11-19 |
1073995916 | Betty Lois Pratt | Nurse Practitioner | 373 Summit St Ste 102, Elgin, IL 60120-3748 | 2015-06-28 |
1336528702 | Ronald Roxas | Nurse Practitioner | 2025 Salem Dr, Elgin, IL 60123-9006 | 2015-05-19 |
Find all providers in ELGIN |
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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.