KELLY MURRAY (NPI# 1861867459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861867459 |
Entity Type | Individual |
Full Name | KELLY MURRAY |
Credential | PA-C |
Practice Address |
915 Toll House Ave Ste 103 Frederick MD 21701-5911 |
Practice Telephone | 3016245390 |
Enumeration Date | 2015-12-08 |
Last Update Date | 2015-12-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C000532 | MD | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | LICENSE | C000532 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598306243 | Kelly Jean Murray | Counselor | 7224 Pacific Hwy East, Milton, WA 98354 | 2019-10-03 |
1881069367 | Kelly Murray | Speech-Language Pathologist | 1680 Natural Bridge Dr, Frisco, TX 75034-4352 | 2015-12-09 |
1255682357 | Kelly J Murray | Counselor | 4085 Us Highway 1, Rockledge, FL 32955-5307 | 2012-09-28 |
1912255183 | Kelly Lynn Murray | General Practice | 10811 Doud St, Houston, TX 77035 | 2012-08-20 |
1811526098 | Kelly Maureen Murray | Physician Assistant | 1275 York Ave, New York, NY 10065-6007 | 2020-04-08 |
1588222376 | Kelly Eileen Murray | Case Manager/Care Coordinator | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2019-06-05 |
1164990586 | Kelly I Murray | Massage Therapist | 1 Hoffman St, Auburn, NY 13021-2157 | 2018-11-03 |
1508343112 | Kelly Marie Murray | Physician Assistant | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2018-07-26 |
1962934869 | Kelly Murray | Dietitian, Registered | 150 Monument Rd, Ste 207, Bala Cynwyd, PA 19004-1702 | 2017-03-30 |
1861935777 | Kelly Murray | Behavior Technician | 452 N Eola Rd Ste A, Aurora, IL 60502-9110 | 2016-11-24 |
Street Address |
915 TOLL HOUSE AVE STE 103 |
City | FREDERICK |
State | MD |
Zip Code | 21701-5911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477595916 | Jeanne Betz Smoot | Pain Medicine | 915 Toll House Ave Ste 103, Frederick, MD 21701-5911 | 2006-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
Find all providers in zip 21701 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801164066 | Atekelt Yilma Tadese | Physician Assistant | 46-b Thomas Johnson Drive, Suite 200, Frederick, MD 21702 | 2011-12-02 |
1619121472 | Barbara S. Rebele | Physician Assistant | 22 S Market St, Suite 6d, Frederick, MD 21701-5570 | 2008-11-06 |
1790954253 | Robert Paul Cathor | Physician Assistant | 56 Thomas Johnson Drive, Ste 110, Frederick, MD 21702-4599 | 2008-02-28 |
1598946006 | Justina A Bennett | Physician Assistant | 85 Thomas Johnson Ct, Suite C, Internal Medicine Specialists of Frederick, Frederick, MD 21702 | 2007-11-27 |
1104809342 | Tara Carson Jernejcic | Physician Assistant | 100 South Market Street, Frederick Community Action Agency, Frederick, MD 21701 | 2005-11-22 |
1376001214 | Lewis Edel Bertus | Physician Assistant | 610 Solarex Ct, Frederick, MD 21703-8624 | 2019-03-11 |
1922510056 | Paola Haros | Physician Assistant | 196 Thomas Johnson Dr, Frederick, MD 21702-4397 | 2017-10-30 |
1295142388 | Rebecca Alyson Leonard | Physician Assistant | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4384 | 2014-07-21 |
1912332123 | Brittany Leigh Henry | Physician Assistant | 87 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4427 | 2013-09-06 |
1154686392 | Daniel Christopher Rosko | Physician Assistant | 7211 Bank Ct, Frederick, MD 21703-8483 | 2012-07-12 |
Find all providers in FREDERICK |
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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.