KIM MARIE KELLY (NPI# 1790119857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790119857 |
| Entity Type | Individual |
| Full Name | KIM MARIE KELLY |
| Credential | RPH |
| Practice Address |
1401 Bombing Range Rd West Richland WA 99353-8001 |
| Practice Telephone | 5099678008 |
| Practice Fax Number | 5099678096 |
| Mailing Telephone | 5099678008 |
| Mailing Fax Number | 5099678096 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00015160 | WA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6029136 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992198584 | Kim Marie Kelly | Behavioral Analyst | 20 Tater St, Mont Vernon, NH 03057-1315 | 2015-03-06 |
| 1851630412 | Kim A Kelly | Counselor | 2528 Oak St, Jacksonville, FL 32204-4504 | 2013-02-01 |
| 1689950800 | Kim C Kelly | Speech-Language Pathologist | 678 Cantiague Rock Rd, Jericho, NY 11753-1401 | 2011-11-02 |
| 1538302799 | Kim Darrell Kelly | Naturopath | 1363 Burgundy Rd, Encinitas, CA 92024-1847 | 2009-04-16 |
| 1740380633 | Kim Erin Kelly | Counselor | 333 S Juniper St, #115, Escondido, CA 92025-4924 | 2006-09-22 |
| 1578585501 | Kim Michelle Kelly | Family Medicine | 12710 Se Division Street, Portland, OR 97236 | 2006-07-25 |
| 1730457193 | Kim J Kelly | Counselor | 200 S Pollock St, Selma, NC 27576-3062 | 2011-12-13 |
| 1457453326 | Kim H Kelly | Registered Nurse | 111 S Front St, Harrisburg, PA 17101-2010 | 2006-09-02 |
| Street Address |
1401 BOMBING RANGE RD |
| City | WEST RICHLAND |
| State | WA |
| Zip Code | 99353-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205887197 | Yokes Foods, Inc | Pharmacist | 1401 Bombing Range Rd, West Richland, WA 99353 | 2006-05-15 |
| 1760417018 | Yokes Food Inc | Pharmacy | 1401 Bombing Range Rd, West Richland, WA 99353-8001 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395263 | Pivotal Movement Experts, Pllc | Clinic/Center | 4033 West Van Giesen St., Unit #c, West Richland, WA 99353 | 2020-01-09 |
| 1700263340 | Nathan Jarvis | Physical Therapist | 6489 Mineral St., West Richland, WA 99353 | 2015-05-04 |
| 1245484781 | Ryan Kirk Law | Family Medicine | 3950 Keene Rd., West Richland, WA 99353 | 2008-11-11 |
| 1255474144 | John Christian Olsen | Chiropractor | 4034 W. Van Giesen Street, Suite E, West Richland, WA 99353 | 2007-02-14 |
| 1043357247 | Robert Harvey Perkes | Chiropractor | 4791 W. Van Giesen St, Suite B, West Richland, WA 99353 | 2007-01-30 |
| 1144317405 | Dana Margaret Watts | Pharmacist | 1401 Bombing Range, West Richland, WA 99353 | 2006-10-06 |
| 1922027168 | Tania Milad Matta | Pediatrics | 3950 Keene Road, West Richland, WA 99353 | 2006-07-19 |
| 1821513177 | Yeo Young Yoon | Nurse Practitioner | 3950 Keene Rd, West Richland, WA 99353 | 2017-08-08 |
| 1164845137 | Katherine Schwartz Slettvet | Nurse Practitioner | 3950 Keene Rd, West Richland, WA 99353 | 2014-01-28 |
| 1386071264 | Mamie Choy Mitscha | Registered Nurse | 3950 Keene Rd, West Richland, WA 99353 | 2013-10-09 |
| Find all providers in zip 99353 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078293 | Wrashmena Jalalyar | Pharmacist | 2431 S 38th Ave, West Richland, WA 99353-7346 | 2020-09-17 |
| 1881140051 | Craig Smith | Pharmacist | 5130 Hershey Ln, West Richland, WA 99353-6043 | 2016-08-28 |
| 1932456266 | George Ghassan Moussallie | Pharmacist | 4711 N Dallas Rd Apt B304, West Richland, WA 99353-9328 | 2012-08-06 |
| 1144317405 | Dana Margaret Watts | Pharmacist | 1401 Bombing Range, West Richland, WA 99353 | 2006-10-06 |
| 1205887197 | Yokes Foods, Inc | Pharmacist | 1401 Bombing Range Rd, West Richland, WA 99353 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810088 | Melaku Abtew Melese | Pharmacist | 3201 S 192nd St Apt Noe102, Seatac, WA 98188-5365 | 2020-10-29 |
| 1922608199 | Kathy Tong | Pharmacist | 3941 S Warsaw St, Seattle, WA 98118-3253 | 2020-10-27 |
| 1346848702 | Bronston Stuart Lallier | Pharmacist | 23731 Se 243rd Ct, Maple Valley, WA 98038-5266 | 2020-10-16 |
| 1467050211 | Jungryul Koh | Pharmacist | 12611 49th Avenue Ct Sw Apt C302, Lakewood, WA 98499-5184 | 2020-10-14 |
| 1407453988 | Phuong Tran Chan Nguyen | Pharmacist | 2826 Se 2nd Ct, Renton, WA 98056-4016 | 2020-10-07 |
| 1881291797 | Jeffrey Douglas Bunce | Pharmacist | 4704 127th Street Ct Sw Apt A205, Lakewood, WA 98499-5863 | 2020-10-04 |
| 1518564590 | David Bye | Pharmacist | 1000 2nd Ave Ste 2400, Seattle, WA 98104-1041 | 2020-10-03 |
| 1720695372 | Vi Thuy-thi Tran | Pharmacist | 112 N Howard St Ste 115, Spokane, WA 99201-0656 | 2020-09-28 |
| 1720694144 | Lwam Dori Ekubazgi | Pharmacist | 5900 37th Ave S Apt H42, Seattle, WA 98118-6234 | 2020-09-21 |
| 1982218814 | Lenny Yann | Pharmacist | 21301 Wa 410, Bonney Lake, WA 98391 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | WEST RICHLAND |
| Zip Code | 99353 |
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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.