DR. JOSEPH ROBERT KELLEY (NPI# 1689781528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689781528 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH ROBERT KELLEY |
| Credential | DC |
| Practice Address |
12305 120th Ave Ne Suite A Kirkland WA 98034-6921 |
| Practice Telephone | 4258202777 |
| Practice Fax Number | 4258215528 |
| Mailing Telephone | 4258202777 |
| Mailing Fax Number | 4258215528 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00003676 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEPT OF LABOR AND INDUSTR | 0129284 | 01 |
| WA | REGENCE RYDER | KE7942 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306331525 | Joseph Thomas Kelley | Psychologist | 50 Magna Rd, Methuen, MA 01844-4655 | 2018-06-29 |
| 1437599511 | Joseph Edward Kelley | Surgery | 10835 Cardinal Lake Dr, Frankfort, IL 60423-2270 | 2013-07-03 |
| 1730243825 | Joseph C Kelley | Registered Nurse | 3020 Rose Blossom Ct Nw, Salem, OR 97304-1056 | 2006-12-21 |
| 1376751354 | Joseph R Kelley | Radiology | 1926 Alcoa Hwy, Ste 130, Knoxville, TN 37920-1545 | 2007-05-21 |
| 1427197375 | Joseph Kelley | Rehabilitation Practitioner | 911 Northland Dr, Princeton, MN 55371-2172 | 2007-02-06 |
| 1558335745 | Joseph Leo Kelley | Obstetrics & Gynecology | 300 Halket St, Suite 0610, Pittsburgh, PA 15213-3108 | 2006-02-14 |
| 1831183565 | Joseph E Kelley Jr. | Surgery | 979 E 3rd St, Ste 300, Chattanooga, TN 37403-2136 | 2005-09-08 |
| Street Address |
12305 120TH AVE NE SUITE A |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-6921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528503547 | Tiffanie Rayanne Inrig | Massage Therapist | 12305 120th Ave Ne, Suite A, Kirkland, WA 98034 | 2016-12-29 |
| 1063634855 | Kelley Chiropractic Wellness Center Pllc | Chiropractor | 12305 120th Ave Ne, Suite A, Kirkland, WA 98034-6921 | 2007-05-03 |
| 1407076912 | Desire Adrienna Holland | Massage Therapist | 12305 120th Ave Ne, #a, Kirkland, WA 98034 | 2007-04-26 |
| 1639259922 | Kari An Shandley | Chiropractor | 12305 120th Ave Ne, #a, Kirkland, WA 98034-6921 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1578005021 | Gunil Lee | Chiropractor | 13131 Ne 85th St Ste 100, Kirkland, WA 98033-8092 | 2016-11-15 |
| 1427500081 | Diana Marie Matson | Chiropractor | 9516 Ne 120th St Apt H305, Kirkland, WA 98034-8994 | 2016-10-31 |
| 1386050078 | Bourree Services Ps | Chiropractor | 634 7th Avenue, Kirkland, WA 98033 | 2014-07-02 |
| 1194082396 | First Step Spine and Wellness, LLC | Chiropractor | 12006 98th Ave Ne, Kirkland, WA 98034-4218 | 2012-04-12 |
| 1013281252 | Michelle D Irwin | Chiropractor | 13325 100th Ave Ne, Suite D, Kirkland, WA 98034-5213 | 2012-03-06 |
| 1497023014 | Harder Health Corporation | Chiropractor | 14329 117th Ave Ne, Kirkland, WA 98034-1165 | 2011-12-09 |
| 1245526805 | Megan Anderson | Chiropractor | 11415 Slater Ave Ne Ste 102, Kirkland, WA 98033-4656 | 2011-06-22 |
| 1124322144 | Satomi Sunaga | Chiropractor | 13325 100th Ave Ne Ste D, Kirkland, WA 98034-5213 | 2011-01-05 |
| 1639490097 | Ricky Sikka | Chiropractor | 13325 100th Ave Ne, Suite D, Kirkland, WA 98034 | 2010-06-18 |
| Find all providers in KIRKLAND | ||||
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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.