KELLY BLY (NPI# 1851700322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851700322 |
| Entity Type | Individual |
| Full Name | KELLY BLY |
| Credential | ATC |
| Practice Address |
41 Lower Newtown Rd Waterford NY 12188 |
| Practice Telephone | 5183915217 |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | RT005900 | PA | Student, Health Care |
| Street Address |
41 LOWER NEWTOWN RD |
| City | WATERFORD |
| State | NY |
| Zip Code | 12188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841363009 | Amita N Nair | Internal Medicine | 158 Saratoga Ave., Waterford Health Center, Waterford, NY 12188 | 2006-11-16 |
| 1588738330 | Daniel Cheng | Pediatrics | 110 3rd St, Waterford, NY 12188 | 2006-11-20 |
| 1306935895 | Mohammed Ismail Md PC | Internal Medicine | 46 3rd St, Waterford, NY 12188 | 2006-10-12 |
| 1740260298 | Elise C. Richtol | Podiatrist | 3 Partridge Ln, Waterford, NY 12188-1091 | 2006-01-20 |
| 1033362579 | Rebecca Hyde Miles | Physical Therapist | 13 Copperfield Dr, Waterford, NY 12188-1093 | 2008-10-28 |
| 1457638264 | Denise Barbara Kochon | Licensed Practical Nurse | 123 Guideboard Rd Apt C, Waterford, NY 12188-1107 | 2011-11-08 |
| 1578568556 | Edward P Franks | Ophthalmology | 22a Church Hill Rd, Waterford, NY 12188-1124 | 2005-06-16 |
| 1720400732 | Leigh Anne Galioto | Speech-Language Pathologist | 4 Anchor Dr, Waterford, NY 12188-1149 | 2014-01-09 |
| 1952765471 | Alexandra Lynn Williams | Speech-Language Pathologist | 8 Lighthouse Dr, Waterford, NY 12188-1163 | 2016-04-11 |
| 1518317379 | Sharon L Vyce | Physical Therapist | 7 Stage Run, Waterford, NY 12188-1176 | 2016-06-13 |
| Find all providers in zip 12188 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685151 | Nicole Hiltner | Student in an Organized Health Care Education/Training Program | 391 Quail Ridge Ct, Waterford, MI 48327-4332 | 2020-09-29 |
| 1861012692 | Natalie Kay Krupinski | Student in an Organized Health Care Education/Training Program | 4942 Bayfield Dr, Waterford, WI 53185-3376 | 2020-04-22 |
| 1245895325 | Jacob Becker | Student in an Organized Health Care Education/Training Program | 122 S River St, Waterford, WI 53185-4152 | 2019-05-05 |
| 1841721420 | Kelby Skelton | Student in an Organized Health Care Education/Training Program | 867 Sedgwick Rd, Waterford, PA 16441-3831 | 2017-03-24 |
| 1992167506 | Anthony Chang | Student in an Organized Health Care Education/Training Program | 11 Trumbull Rd, Waterford, CT 06385-2729 | 2016-03-23 |
| 1831532886 | Bianca Molina | Student in an Organized Health Care Education/Training Program | 14 Bishop St, Waterford, CT 06385-2506 | 2013-04-09 |
| 1740814110 | Varsha George | Student in an Organized Health Care Education/Training Program | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2020-02-25 |
| 1780237834 | Stephanie Starks | Student in an Organized Health Care Education/Training Program | 279 Summit Dr, Waterford, MI 48328-3364 | 2019-07-18 |
| 1538724513 | Daniel Thomas Colfer | Student in an Organized Health Care Education/Training Program | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2019-05-06 |
| 1275018319 | Mirissa Lynne Gagnier | Student in an Organized Health Care Education/Training Program | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2018-09-25 |
| Find all providers in WATERFORD | ||||
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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.