KELLY NICOLE EVANS


Address: 250 Cetronia Rd, Allentown, PA 18104-9147
Phone: 6109736200

KELLY NICOLE EVANS (NPI# 1851628002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851628002
Entity Type Individual
Full Name KELLY NICOLE EVANS
Other Name KELLY NICOLE LEA
Credential PA
Practice Address 250 Cetronia Rd
Allentown
PA 18104-9147
Mailing Address 250 Cetronia Rd
Suite 303
Allentown
PA 18104-9147
Practice Telephone 6109736200
Practice Fax Number 8666440894
Mailing Telephone 6109736200
Mailing Fax Number 8666440894
Enumeration Date 2009-11-09
Last Update Date 2015-02-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
MA057361 PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY EVANS

NPI Name Taxonomy Address Enumeration
1407211352 Kelly Evans Home Health Aide 13947 Castille St, Victorville, CA 92392-5508 2015-12-19
1396178174 Kelly Evans Counselor 8 Reservoir Circle, Suite 103, Families Connected, LLC, Baltimore, MD 21208 2013-08-15
1093027906 Kelly Anne Evans Marriage & Family Therapist 408 Saint Peter St Ste 429, Saint Paul, MN 55102-1119 2010-07-08
1235289976 Kelly Carter Evans Counselor 27888 Meadow Dr, Suite 106, Evergreen, CO 80439-2102 2007-01-12
1124107693 Kelly Evans Internal Medicine 85 Highway 80, Manchester, KY 40962-8801 2006-11-03
1720165251 Kelly Charles Evans Psychologist 2714 Stewart Ave, Wausau, WI 54401-4153 2006-11-01
1730654104 Kelly Evans Speech-Language Pathologist 13333 Blanco Rd Ste 310, San Antonio, TX 78216-7756 2018-10-11
1508341181 Kelly Evans Nurse Practitioner 6616 Center Grove, Edwardsville, IL 62025 2018-09-28
1699221663 Kelly Ann Evans Nurse Anesthetist, Certified Registered 51 N 39th St, Philadelphia, PA 19104-2640 2016-08-30
1245785534 Kelly Evans Counselor 3701 Landsdowne Dr, Ashland, KY 41102-5422 2016-08-17

Office Location

Street Address 250 CETRONIA RD
City ALLENTOWN
State PA
Zip Code 18104-9147

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669476081 Amir H Fayyazi Orthopaedic Surgery 250 Cetronia Rd, Allentown, PA 18104-9147 2005-06-13
1043741812 Amy Devenuto Physical Therapist 250 Cetronia Rd, Suite 210, Allentown, PA 18104-9147 2017-03-23
1245788280 Betsy Green Occupational Therapist 250 Cetronia Rd, Suite 220, Allentown, PA 18104-9147 2016-09-20
1154879468 Lauren Cook Occupational Therapist 250 Cetronia Rd, Suite 220, Allentown, PA 18104-9147 2016-09-15
1578922803 Michael Sidari Physician Assistant 250 Cetronia Rd, Allentown, PA 18104 2016-02-15
1184026874 Steven J Rogalski Physician Assistant 250 Cetronia Rd, Allentown, PA 18104-9147 2014-09-24
1568863116 Maryjane Spotts Cerrone Clinical Nurse Specialist 250 Cetronia Rd, Allentown, PA 18104-9147 2014-09-12
1184025447 Christine Marie Ciaverelli Physician Assistant 250 Cetronia Rd, Allentown, PA 18104-9147 2014-09-05
1376942003 Jonna P Trexler Physician Assistant 250 Cetronia Rd, Allentown, PA 18104-9147 2014-08-19
1740606359 Onyedikachukwu K Momah Physician Assistant 250 Cetronia Rd, Allentown, PA 18104-9147 2014-03-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174134191 The Calm Space LLC Social Worker 2047 Pa-309, Allentown, PA 18104 2020-08-13
1790333458 Loanna T Nguyen Nurse Practitioner 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 2019-08-27
1093360513 Meghan Paul Pharmacist 1727 W Liberty Street, Unit 2, Allentown, PA 18104 2019-08-02
1750948154 Patricia Terreros Counselor 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 2019-05-22
1023593084 Hearvana Clinic/Center 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 2018-09-26
1700397098 Amanda L Sellers Psychologist 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 2017-10-13
1689104457 Craig Ryan Miller Physical Therapist 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 2017-06-14
1780128207 Brandi Nicole Burns Pediatrics 1517 Pond Road, Allentown, PA 18104 2016-12-19
1750824264 William Edward Thawley Pharmacist 322 N 7th St., Allentown, PA 18104 2016-12-01
1609222371 Extremity Mri Inc Radiologic Technologist 3131 College Heights Blvd Ste 400, Allentown, PA 18104 2016-05-11
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447628169 Jordan Salibi Physician Assistant 1117 Sherman St, Allentown, PA 18109-1716 2015-09-11
1598899809 Cynthia S. Mang Physician Assistant Dept of General Surgery, 1240 S. Cedar Crest Blvd, Allentown, PA 18103 2007-03-16
1558817130 Christina Marie Strauss Physician Assistant 1250 S Cedar Crest Blvd, 215, Allentown, PA 18103-6224 2016-09-01
1225412034 Ashley Krzemien Physician Assistant 1243 S Cedar Crest Blvd Ste 301, Lvpg Plastic and Reconstructive Surgery, Allentown, PA 18103-6268 2015-07-13
1184026874 Steven J Rogalski Physician Assistant 250 Cetronia Rd, Allentown, PA 18104-9147 2014-09-24
1184025447 Christine Marie Ciaverelli Physician Assistant 250 Cetronia Rd, Allentown, PA 18104-9147 2014-09-05
1376942003 Jonna P Trexler Physician Assistant 250 Cetronia Rd, Allentown, PA 18104-9147 2014-08-19
1801203252 Lauren Christoff Physician Assistant 2100 Mack Blvd, Allentown, PA 18103-5622 2014-07-17
1740606359 Onyedikachukwu K Momah Physician Assistant 250 Cetronia Rd, Allentown, PA 18104-9147 2014-03-07
1881016384 Sarah Clark Physician Assistant 250 Cetronia Rd, Allentown, PA 18104-9147 2014-01-17
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Competitor

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City ALLENTOWN
Zip Code 18104

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Dataset Information

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.

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