DR. KELLY A KYNASTON (NPI# 1679852909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679852909 |
| Entity Type | Individual |
| Full Name | DR. KELLY A KYNASTON |
| Credential | D.O. |
| Practice Address |
2770 Eureka Way Ste 100 Redding CA 96001-0252 |
| Mailing Address |
Po Box 991844 Redding CA 96099-1844 |
| Practice Telephone | 5302412244 |
| Practice Fax Number | 5302412489 |
| Mailing Telephone | 5302469806 |
| Mailing Fax Number | 5302469808 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 20A14750 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | UO2862 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
20A14750 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2770 EUREKA WAY STE 100 |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467431700 | Matthew Scott Miles | Internal Medicine | 2770 Eureka Way, Ste 100, Redding, CA 96001-0252 | 2006-01-13 |
| 1154332161 | Sutton N Menezes | Internal Medicine | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2006-08-11 |
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|---|---|---|---|---|
| 1710527452 | Minal Kapoor Md PC | Internal Medicine | 14901 National Ave Ste 202, Los Gatos, CA 95032-2637 | 2020-01-10 |
| 1285271247 | Sandeep Kumar Bansil Md Inc | Internal Medicine | 641 S Primrose St, La Habra, CA 90631-9245 | 2019-12-09 |
| 1356906739 | Joshua Wolfsohn Do Inc | Internal Medicine | 4000 Calle Tecate Ste 220, Camarillo, CA 93012-5289 | 2019-05-01 |
| 1598224222 | Andrew Markus Faulk | Internal Medicine | 2121 Webster St Apt 605, San Francisco, CA 94115-7812 | 2019-03-12 |
| 1205305026 | Wilbert C Jordan Md Inc | Internal Medicine | 16660 Paramount Blvd Ste 303, Paramount, CA 90723-5459 | 2018-11-21 |
| 1295182335 | East Bay Area Quality Health Corporation | Internal Medicine | 400 29th Ave, Suite 501, Oakland, CA 94601-2106 | 2016-05-18 |
| 1174985451 | Nicholas Robert Degner | Internal Medicine | 705 San Carlo Ave, Colton, CA 92324-6864 | 2016-03-24 |
| 1184084865 | Mohammad Yousef Alkhatib Md Inc | Internal Medicine | 79405 Highway 111 Ste 9-334, La Quinta, CA 92253-8300 | 2016-02-24 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1407239700 | Alan Koff | Internal Medicine | 4860 Y St Ste 0101, Sacramento, CA 95817-2307 | 2015-07-04 |
| 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.