KRISTINE MARIE KELLY (NPI# 1679105670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679105670 |
| Entity Type | Individual |
| Full Name | KRISTINE MARIE KELLY |
| Credential | RPH |
| Practice Address |
1750 S Wayne Rd Westland MI 48186-5430 |
| Practice Telephone | 7347213444 |
| Practice Fax Number | 7347284197 |
| Mailing Telephone | 7347213444 |
| Mailing Fax Number | 7347284197 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302029420 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962068098 | Kristine Kelly | Registered Nurse | 14 Charles St, Ballston Spa, NY 12020-1128 | 2019-05-14 |
| 1437445434 | Kristine Gilyard Kelly | Registered Nurse | 7216 Aberdeen Curv, Woodbury, MN 55125-1694 | 2011-06-28 |
| 1447414222 | Kristine A Kelly | Counselor | 133 E Haley St., Santa Barbara, CA 93102 | 2008-07-11 |
| 1780810903 | Kristine Noel Kelly | Nurse Practitioner | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2009-06-02 |
| 1679749899 | Kristine Kelly | Physician Assistant | 535 E 70th St, New York, NY 10021-4872 | 2008-05-07 |
| Street Address |
1750 S WAYNE RD |
| City | WESTLAND |
| State | MI |
| Zip Code | 48186-5430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598867830 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 1750 S Wayne Rd, Westland, MI 48186-5430 | 2006-09-05 |
| 1215552831 | Mayurkumar Patel | Pharmacist | 1750 S Wayne Rd, Westland, MI 48186-5430 | 2020-06-09 |
| 1336772441 | Lenah Suleiman | Pharmacist | 1750 S Wayne Rd, Westland, MI 48186-5430 | 2020-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811539562 | Danny's Pharmacy | Pharmacy | 1629 S Merriman, Westland, MI 48186 | 2019-10-15 |
| 1740777499 | Nicole Marie Milz | Social Worker | 32517 Dorsey St, Westland, MI 48186 | 2018-04-18 |
| 1417483678 | Heidi Harmony Romero | Nurse Practitioner | 1952 Treadwell St, Westland, MI 48186 | 2017-05-10 |
| 1578010013 | Marguerite Wilhemina Way | Private Vehicle | 2439 Stieber St., Westland, MI 48186 | 2016-09-01 |
| 1275991440 | Robie Mcqueen | Counselor | 2661 Stieber St, Westland, MI 48186 | 2016-02-03 |
| 1134486558 | All About Baby | Case Management | 1620 Leslie St, Westland, MI 48186 | 2012-04-23 |
| 1619242013 | Sure Care Enterprises, LLC | Home Health | 400 Venoy, Westland, MI 48186 | 2012-03-19 |
| 1033388442 | Diane Marie Dart-baden | Psychologist | 1547 South Wayne Road, Westland, MI 48186 | 2008-02-29 |
| 1649448002 | Ameri Group Services, Inc. | Durable Medical Equipment & Medical Supplies | 1150 S Wayne Rd, Westland, MI 48186 | 2008-02-19 |
| 1285816645 | Choices 4 Transportation Service, LLC | Non-emergency Medical Transport (VAN) | 29063 Currier Avenue, Westland, MI 48186 | 2007-11-28 |
| Find all providers in zip 48186 | ||||
| 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 |
|---|---|---|---|---|
| 1578163069 | Alaric Michael Nielson | Pharmacist | 158 Schoolcraft St, Lake Linden, MI 49945-1328 | 2020-10-26 |
| 1598380529 | Daniel Asare Offei | Pharmacist | 2539 Sagewood Ave Ne Unit 718, Grand Rapids, MI 49525-2952 | 2020-06-16 |
| 1013540426 | Aiman Abueida | Pharmacist | 17000 Executive Plaza Dr Ste 201, Dearborn, MI 48126-2793 | 2020-02-14 |
| 1336770866 | Azadeh Ali Moghaddam | Pharmacist | 5951 Sunrise Dr, Ypsilanti, MI 48197-7498 | 2020-02-03 |
| 1811527104 | Bailey Elaine Johnson | Pharmacist | 626 W Front St, Traverse City, MI 49684-2210 | 2020-01-25 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1760020333 | Deborah Handrinos Njus | Pharmacist | 19028 Stonewater Blvd, Northville, MI 48168-8560 | 2019-12-14 |
| 1255978037 | Dana Trudell | Pharmacist | 829 W 4th St, Pinconning, MI 48650-8907 | 2019-11-29 |
| 1174169270 | Debra Joyce Lammers | Pharmacist | 531 West Main Street, Milan, MI 48160 | 2019-11-23 |
| 1467098533 | Thomas Aaron | Pharmacist | 4194 Glenbrook Ct, Sterling Heights, MI 48310-3378 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
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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.