DR. KELLY S TATE (NPI# 1700839040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700839040 |
| Entity Type | Individual |
| Full Name | DR. KELLY S TATE |
| Credential | MD |
| Practice Address |
1724 Kenton St Suite 2 A Hopkinsville KY 42240-1981 |
| Practice Telephone | 2708852091 |
| Practice Fax Number | 2708852094 |
| Mailing Telephone | 2708852091 |
| Mailing Fax Number | 2708852094 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 27148 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64271489 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326203100 | Kelly R Tate | Counselor | 25882 Orchard Lake Rd Ste L-7a, Farmington Hills, MI 48336-1269 | 2008-07-22 |
| 1447212378 | Kelly H Tate | Nurse Practitioner | 199 E.b. Tate Road, Burlington, NC 27217 | 2006-04-05 |
| 1790323756 | Kelly Ann Tate | Social Worker | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2019-12-20 |
| 1396020467 | Kelly Tate | Pharmacist | 101 Doug Baker Blvd, Birmingham, AL 35242-2675 | 2011-10-19 |
| 1558481812 | Kelly Tate | Pharmacy Technician | 1438 Hardcastle Blvd, Purcell, OK 73080-8233 | 2007-03-30 |
| Street Address |
1724 KENTON ST SUITE 2 A |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-1981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953209 | Western Kentucky Institute of Plastic, Reconstructive and Aesthetic Su | Specialist | 1724 Kenton St, Suite 1 C, Hopkinsville, KY 42240-1981 | 2005-06-26 |
| 1720690316 | Jennifer Slaton | Nurse Practitioner | 1724 Kenton St, Hopkinsville, KY 42240-1981 | 2020-08-17 |
| 1124566641 | Rebecca Kerby | Registered Nurse | 1724 Kenton St, Hopkinsville, KY 42240-1981 | 2017-02-03 |
| 1386008340 | Melissa Anne Dawley | Nurse Practitioner | 1724 Kenton St, Suite 1b, Hopkinsville, KY 42240-1981 | 2016-04-06 |
| 1811305915 | Christina Polete | Nurse Practitioner | 1724 Kenton St, Suite 1b Doctors Pavillion, Hopkinsville, KY 42240-1981 | 2014-08-01 |
| 1467884163 | Christina Janette Turner | Physician Assistant | 1724 Kenton St, Hopkinsville, KY 42240-1981 | 2013-08-05 |
| 1912272196 | Aalap Majmudar | Internal Medicine | 1724 Kenton St, Suite 1b, Hopkinsville, KY 42240-1981 | 2012-03-20 |
| 1952629792 | Maresa E Muhlethaler | Nurse Practitioner | 1724 Kenton St, Suite 1b, Hopkinsville, KY 42240-1981 | 2010-05-04 |
| 1730410275 | John M Colby Md | Psychiatry & Neurology | 1724 Kenton St, Suite 1a, Hopkinsville, KY 42240-1981 | 2010-01-22 |
| 1881827848 | Don L Perkins, Md, Inc | Family Medicine | 1724 Kenton St, Suite 2 A, Hopkinsville, KY 42240-1981 | 2009-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601638 | Tara Nichole Walker | Family Medicine | 1724 Kenton Street, Suite #1b, Hopkinsville, KY 42240-1981 | 2020-02-18 |
| 1760980544 | Hopkinsville Family Care Psc | Family Medicine | 315a W 16th St, Hopkinsville, KY 42240-1903 | 2018-01-26 |
| 1912268038 | Alissa K Daugherty | Family Medicine | 4044 Fort Campbell Blvd, Pmb# 124, Hopkinsville, KY 42240-4950 | 2012-06-05 |
| 1821120726 | Emmanuel J. Battah, M.d., Psc | Family Medicine | 1025 Great Oaks Dr, Hopkinsville, KY 42240-5107 | 2007-03-09 |
| 1396759114 | Barbara J.s. Newell Md Pllc | Family Medicine | 318 E 9th St, Hopkinsville, KY 42240-3451 | 2006-07-28 |
| 1366406258 | Vinna R Denison | Family Medicine | 320 North Dr, Hopkinsville, KY 42240-1806 | 2006-04-17 |
| 1407843360 | James H. Simpson Jr. | Family Medicine | 111 Derrick St, Hopkinsville, KY 42240-1325 | 2005-10-05 |
| 1740282714 | Gary G Spencer | Family Medicine | 1602b Canton St, Hopkinsville, KY 42240-1924 | 2005-08-10 |
| 1811993967 | Patricia Ann Blewett | Family Medicine | 223 Burley Ave, Hopkinsville, KY 42240-8725 | 2005-06-23 |
| 1427052315 | William E Sweet | Family Medicine | 1102 S Virginia St, Hopkinsville, KY 42240-3579 | 2005-06-08 |
| Find all providers in HOPKINSVILLE | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
Please comment or provide details below to improve the information on DR. KELLY S TATE.
| 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.