MR. KELLY KIMBRELL (NPI# 1801019013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801019013 |
| Entity Type | Individual |
| Full Name | MR. KELLY KIMBRELL |
| Credential | MA, CAGS |
| Practice Address |
1331 E Redfield Rd Tempe AZ 85283-4133 |
| Mailing Address |
3733 E Waterman St Gilbert AZ 85297-7882 |
| Practice Telephone | 4807833385 |
| Mailing Telephone | 4807687624 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881105161 | Kelly R Kimbrell | Nurse Practitioner | 4140 W Memorial Rd Ste 215, Oklahoma City, OK 73120-8361 | 2017-10-13 |
| Street Address |
1331 E REDFIELD RD |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-4133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978320 | Mikki Rakestrow | Speech-Language Pathologist | 1331 E Redfield Rd, Tempe, AZ 85283-5733 | 2020-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871815423 | Nicole Boeri | Psychologist | 4630 S Lakeshore Dr, Apt 362, Tempe, AZ 85282-7164 | 2010-02-24 |
| 1851625412 | Kristen Lilly | Psychologist | 5319 S Mitchell Dr, Tempe, AZ 85283-1739 | 2009-09-29 |
| 1770767295 | Frances C Morrison | Psychologist | 1822 E Center Ln Unit D, Tempe, AZ 85281-4238 | 2007-12-19 |
| 1154475622 | Carla Monica Seifert | Psychologist | 4525 S College Ave, Evans School, Tempe, AZ 85282 | 2007-01-22 |
| 1770633869 | Hugo Alberto Tapia | Psychologist | 1250 E Baseline Rd, Tempe, AZ 85283-1404 | 2007-01-11 |
| 1699924191 | Anne Burrows | Psychologist | 1974 E Meadow Dr, Tempe, AZ 85282-2946 | 2008-09-09 |
| 1497903504 | Gabriela Gloria Chavez | Psychologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2008-09-03 |
| 1124275680 | Charles Wilder | Psychologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2008-08-26 |
| 1245487883 | Annie Louise Lattuca | Psychologist | 3205 S Rural Rd, Tempe, AZ 85282-3853 | 2008-08-26 |
| 1386800613 | Holly Anne Wertz | Psychologist | 1730 S Mill Ave, Tempe, AZ 85281-6600 | 2008-08-06 |
| Find all providers in TEMPE | ||||
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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.