KELLY DIRIG (NPI# 1861535874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861535874 |
| Entity Type | Individual |
| Full Name | KELLY DIRIG |
| Credential | MD |
| Practice Address |
310 N L Rogers Wells Blvd Glasgow KY 42141-1300 |
| Practice Telephone | 2706595865 |
| Practice Fax Number | 2706595854 |
| Mailing Telephone | 2706595865 |
| Mailing Fax Number | 2706595854 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2014-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 37391 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64053176 | 05 |
| Street Address |
310 N L ROGERS WELLS BLVD |
| City | GLASGOW |
| State | KY |
| Zip Code | 42141-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850134 | Michael A Saridakis | Surgery | 310 N L Rogers Wells Blvd, Suite 103, Glasgow, KY 42141-1300 | 2005-06-10 |
| 1851938807 | Lauren M Legrand | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2019-12-09 |
| 1366001885 | Ryan B Kerrins | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2019-06-08 |
| 1851864797 | Heather C Bull | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2019-01-03 |
| 1174043582 | Jessica Lauren Miller | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-06-27 |
| 1750819967 | Marissa Howard | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-06-01 |
| 1447783634 | Barbara G Kelly | Family Medicine | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-04-05 |
| 1245761030 | Laura Elizabeth Brooks | Pediatrics | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-03-23 |
| 1528511979 | Sydni Paige Burton | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2016-08-02 |
| 1568821304 | Megan L Buntin | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2016-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505912 | Adriene Elizabeth Wilson | Nurse Practitioner | 310 N. L. Rogers Blvd., Glasgow, KY 42141 | 2020-07-14 |
| 1649896648 | Katrina Antonette Casanova Tinoco | Student in an Organized Health Care Education/Training Program | 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 | 2020-06-25 |
| 1245744630 | Town and Country Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 742a East Main Street, Glasgow, KY 42141 | 2017-11-22 |
| 1821413022 | Russell England | Nurse Practitioner | 370 Beaver Mound Circle, Glasgow, KY 42141 | 2014-02-25 |
| 1447507439 | Rehabcare | Skilled Nursing Facility | 109homewoodblvd, Glasgow, KY 42141 | 2012-08-08 |
| 1578847778 | Alexander Kwadwo Somuah | Pharmacist | 1001 W. Main St, Glasgow, KY 42141 | 2011-10-06 |
| 1518240522 | William David Wiley | Pharmacist | 1001 West Main St., Glasgow, KS 42141 | 2011-09-26 |
| 1003121732 | Teresa Katherine Essex | Speech-Language Pathologist | 341 Ginger Rd, Glasgow, KY 42141 | 2010-08-18 |
| 1396915468 | R David Fant Md Psc | Pediatrics | 1407 North Race St, Glasgow, KY 42141 | 2008-03-05 |
| 1003021957 | Eddy Joe Newberry II | Dentist | 400 S. Broadway, Glasgow, KY 42141 | 2007-05-14 |
| Find all providers in zip 42141 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417090416 | Orlando Bravo | Obstetrics & Gynecology | 1411 N Race St, Glasgow, KY 42141-3474 | 2007-02-15 |
| 1427132489 | Stephanie Anne Freeman | Obstetrics & Gynecology | 201 Professional Park Dr, Glasgow, KY 42141-3486 | 2006-10-25 |
| 1720027923 | Gerald W. Thorpe | Obstetrics & Gynecology | 310 N. L Rogers Wells Bvld, Glasgow, KY 42141-1300 | 2006-06-05 |
| 1932558129 | Robert Collins | Obstetrics & Gynecology | 221 5th Ave S, Glasgow, MT 59230-2600 | 2016-06-08 |
| 1114062346 | Bharati B Mody | Obstetrics & Gynecology | 201 Professional Park Dr, Glasgow, KY 42141 | 2007-02-21 |
| 1184767196 | John P Craddock | Obstetrics & Gynecology | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2007-02-15 |
| 1588700660 | Donna Lynn Smith | Obstetrics & Gynecology | 221 5th Ave S, Glasgow, MT 59230-2600 | 2007-01-29 |
| 1821161530 | Lawrence Robert Palazzo | Obstetrics & Gynecology | 621 3rd St S, Glasgow, MT 59230-2604 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094670 | Commonwealth Community Care Centers, LLC | Obstetrics & Gynecology | 156 North Lake Drive, Prestonburg, KY 41653 | 2020-02-06 |
| 1487285029 | Kenneth Lee Mudd | Obstetrics & Gynecology | 1081 Eastern Pkwy, Louisville, KY 40217-1559 | 2020-02-03 |
| 1881146793 | One Way Gynecology LLC | Obstetrics & Gynecology | 126 Daniel Dr, Suite B, Danville, KY 40422-2547 | 2016-10-26 |
| 1043667041 | Lindsey Ann Choi | Obstetrics & Gynecology | 650 Joel Dr Bldg A, Fort Campbell, KY 42223-5318 | 2016-05-19 |
| 1518321959 | Celia M O'brien | Obstetrics & Gynecology | 4130 Dutchmans Ln Ste 400, Louisville, KY 40207-4711 | 2016-04-12 |
| 1285098061 | Audrey Garneau | Obstetrics & Gynecology | 800 Rose St # C368, Lexington, KY 40536-4720 | 2016-04-07 |
| 1558743658 | Katherine Schluter Vignes | Obstetrics & Gynecology | Obstetrics and Gynecology, 800 Rose Street C-368, Lexington, KY 40536-0293 | 2015-06-24 |
| 1912387523 | Emily Jordan Gregory | Obstetrics & Gynecology | 1700 Nicholasville Rd Ste 703, Lexington, KY 40503-1467 | 2015-06-09 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1851701452 | Megan O'conner Schneider | Obstetrics & Gynecology | 20 Medical Village Dr Ste 302, Edgewood, KY 41017 | 2014-05-05 |
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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.