DR. KELLY ELIZABETH YOUNG (NPI# 1851598833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851598833 |
| Entity Type | Individual |
| Full Name | DR. KELLY ELIZABETH YOUNG |
| Credential | D.D.S. |
| Practice Address |
2005 Saint Charles St Ste 5 Jasper IN 47546-9146 |
| Mailing Address |
1219 Red Dunes Run Avon IN 46123-9536 |
| Practice Telephone | 8124824321 |
| Practice Fax Number | 8126346809 |
| Mailing Telephone | 8124824321 |
| Mailing Fax Number | 8126346809 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12011027A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LICENSE NUMBER | 12011027A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063058600 | Kelly Young | Registered Nurse | 501 Howard Ave Ste D, Altoona, PA 16601-4810 | 2019-11-19 |
| 1861842700 | Kelly Michelle Young | Physician Assistant | 2424 Erwin Rd Ste 201, Durham, NC 27705-3825 | 2016-06-21 |
| 1508216631 | Kelly Young | Marriage & Family Therapist | 7350 Heritage Village Plz Unit 102, Gainesville, VA 20155-3085 | 2016-06-20 |
| 1013394865 | Kelly Ann Young | Dietitian, Registered | 1380 El Cajon Blvd, El Cajon, CA 92020-5703 | 2015-04-30 |
| 1306144167 | Kelly Marie Young | Counselor | 201 Houston St Ste 104, Batavia, IL 60510-1960 | 2011-03-03 |
| 1164736641 | Kelly Young | Physical Therapy Assistant | 396 Lake Nepessing Rd., Lapeer, MI 48446-2910 | 2010-07-27 |
| 1922246099 | Kelly Young | Social Worker | 3140 Tarrant Ln, Plano, TX 75025-5291 | 2009-01-28 |
| 1265682801 | Kelly Shannon Young | Physical Therapist | 1151 Robeson Street, Fall River, MA 02720-5566 | 2008-09-19 |
| 1053924423 | Kelly Lee Young | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-08-26 |
| 1598381121 | Kelly Young | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-19 |
| Street Address |
2005 SAINT CHARLES ST STE 5 |
| City | JASPER |
| State | IN |
| Zip Code | 47546-9146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209650 | Ansley Parnell Allen | Dentist | 1208 Highway 78 East, Jasper, AL 35501 | 2018-09-20 |
| 1487069035 | Howard Ronald Brown | Dentist | 1606 Highway 78 E, Jasper, AL 35501-4034 | 2014-06-23 |
| 1356696058 | Southeast Texas Dental Center | Dentist | 190 N Zavalla St, Jasper, TX 75951-4119 | 2012-07-18 |
| 1548421860 | Steven G. Spencer | Dentist | 364 N Zavalla St, Jasper, TX 75951-3708 | 2008-06-19 |
| 1730358300 | Michael D. Adkins | Dentist | 1100 Woodlawn Dr, Jasper, IN 47546-8086 | 2008-02-27 |
| 1508068891 | Bradley Simpson Hicks | Dentist | 4500 Highway 78 E, Jasper, AL 35501-8804 | 2007-05-31 |
| 1124248406 | Jodi Lee Kahla | Dentist | 2051-e South Wheeler, Jasper, TX 75951-5600 | 2007-04-27 |
| 1427278175 | William Charles Fincannon | Dentist | 1001 W Gibson St, Jasper, TX 75951-4803 | 2007-04-26 |
| 1841417706 | J. Brad Wilson | Dentist | 288 Northwood Ave, Jasper, IN 47546-1212 | 2007-04-19 |
| 1386868461 | Dr H Ron Brown | Dentist | 1606 Hwy 78 E, Jasper, AL 35504-4034 | 2007-04-12 |
| Find all providers in JASPER | ||||
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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.