KELLY HARRISON (NPI# 1730296492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730296492 |
| Entity Type | Individual |
| Full Name | KELLY HARRISON |
| Credential | PA |
| Practice Address |
1200 S Cedar Crest Blvd Allentown PA 18103-6202 |
| Mailing Address |
Po Box 1754 Allentown PA 18105-1754 |
| Practice Telephone | 6104028111 |
| Practice Fax Number | 6104021698 |
| Mailing Telephone | 6107984500 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA051139 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033458500 | Kelly L Harrison | Counselor | 183 Wind Chime Court, Suite 100, Raleigh, NC 27615 | 2013-02-04 |
| 1457830952 | Kelly L Harrison | Specialist/Technologist | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-07 |
| 1407334410 | Kelly S Harrison | Prevention Professional | 600 Walnut St, Greenville, OH 45331-1944 | 2018-08-01 |
| 1114360385 | Kelly Mark Harrison | Counselor | 784 High St, San Luis Obispo, CA 93401-5243 | 2013-04-08 |
| 1144452905 | Kelly B Harrison | Social Worker | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2009-08-12 |
| 1548428006 | Kelly Harrison | Social Worker | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2008-05-30 |
| 1326169079 | Kelly Ann Harrison | Specialist/Technologist | 200 Prospect St, East Stroudsburg University, East Stroudsburg, PA 18301-2956 | 2007-04-02 |
| 1861559445 | Kelly K Harrison | Nurse Anesthetist, Certified Registered | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2007-01-02 |
| Street Address |
1200 S CEDAR CREST BLVD |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123094 | Michael Joseph Patton | Registered Nurse | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2005-06-09 |
| 1144820457 | Yunier Ramirez | Registered Nurse | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-27 |
| 1881293751 | Meghan Elizabeth Paradise | Physician Assistant | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-22 |
| 1093314007 | Abbigail Nicole Reimer | Physician Assistant | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-21 |
| 1407455397 | Veronica Gisondi | Surgery | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-21 |
| 1194324582 | Erin Collington | Registered Nurse | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-19 |
| 1770198079 | Sarah Knop | Physician Assistant | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-09-14 |
| 1922611185 | Tsneem Hamed Salem Mbydeen | Student in an Organized Health Care Education/Training Program | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-08-27 |
| 1255944732 | Kamoliddin Khodjaev | Registered Nurse | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-08-25 |
| 1881212918 | Cleo Zarina Alejo Reyes | Student in an Organized Health Care Education/Training Program | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982252185 | Amanda Jane Gower | Physician Assistant | 1605 N Cedar Crest Blvd Ste 110, Allentown, PA 18104-2351 | 2019-08-30 |
| 1104306117 | Sean Duffy | Physician Assistant | 1667 Victoria Cir, Allentown, PA 18103-6474 | 2018-08-19 |
| 1811477300 | Harley Elizabeth Williams | Physician Assistant | 1240 S Cedar Crest Blvd Ste 215, Allentown, PA 18103-6369 | 2018-08-15 |
| 1932621356 | Lauren Dian Demberger | Physician Assistant | 1240 S Cedar Crest Blvd Ste 305, Allentown, PA 18103-6370 | 2017-07-07 |
| 1255773107 | Jacqueline Mary Turner | Physician Assistant | 401 N 17th St Ste 304, Allentown, PA 18104-5051 | 2013-07-20 |
| 1720364110 | Sarah Elizabeth Petruno | Physician Assistant | 401 N 17th St Ste 307, Allentown, PA 18104-5051 | 2011-10-29 |
| 1467755546 | Seth Vaughn | Physician Assistant | 4825 Tilghman Street, Allentown, PA 18104 | 2010-12-13 |
| 1891028122 | Jessica D Zehr | Physician Assistant | 1501 North Cedar Crest Blvd, Allentown, PA 18104-2309 | 2009-09-18 |
| 1275773723 | Samuel James Hertig | Physician Assistant | 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 | 2009-02-24 |
| 1497805022 | Wendi A Hontz | Physician Assistant | 1575 Pond Rd Ste 203, Allentown, PA 18104 | 2007-01-12 |
| Find all providers in ALLENTOWN | ||||
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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.