MACKENZIE KELLY (NPI# 1871084061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871084061 |
| Entity Type | Individual |
| Full Name | MACKENZIE KELLY |
| Practice Address |
250 S 21st St Easton PA 18042-3851 |
| Practice Telephone | 6102504000 |
| Mailing Telephone | 6102504000 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA060155 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751706 | Mackenzie Elizabeth Kelly | Occupational Therapy Assistant | 4500 E Cherry Creek South Dr Ste 710, Denver, CO 80246-1534 | 2019-10-14 |
| 1942761580 | Mackenzie Kelly | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2019-03-27 |
| 1902285869 | Mackenzie Kelly | Psychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612 | 2015-05-26 |
| Street Address |
250 S 21ST ST |
| City | EASTON |
| State | PA |
| Zip Code | 18042-3851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305930 | Anesthesia Associates of Easton, P C | Specialist | 250 S 21st St, Easton, PA 18042-3851 | 2005-06-08 |
| 1588280036 | Palina Sudnik | Internal Medicine | 250 S 21st St, Easton, PA 18042-3892 | 2020-06-21 |
| 1114542297 | Dhruvanshu Rajendrakumar Patel | Internal Medicine | 250 S 21st St, Easton, PA 18042-3892 | 2020-06-14 |
| 1699390013 | Ei Ei Thwe | Internal Medicine | 250 S 21st St, Easton, PA 18042-3851 | 2020-06-11 |
| 1861017295 | Emeka Richard Ugwuegbulem | Internal Medicine | 250 S 21st St, Easton, PA 18042-3851 | 2020-06-11 |
| 1881218915 | St. Luke's Hospital Easton Campus | General Acute Care Hospital | 250 S 21st St, Easton, PA 18042-3851 | 2020-06-04 |
| 1427671874 | Sidra Adnan | Internal Medicine | 250 S 21st St, Easton, PA 18042-3892 | 2020-05-20 |
| 1902429327 | William Christopher Mcintosh | Internal Medicine | 250 S 21st St, Easton, PA 18042-3892 | 2020-05-20 |
| 1336762848 | Zhiyuan Ma | Internal Medicine | 250 S 21st St, Easton, PA 18042-3851 | 2020-05-19 |
| 1447872908 | Tejaswitha Suryadevara | Internal Medicine | 250 S 21st St, Easton, PA 18042-3851 | 2020-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013570613 | St. Luke's Physician Group, Inc. | Family Medicine | 352 Northampton St, Easton, PA 18042 | 2019-04-18 |
| 1992263909 | St. Luke's Physician Group, Inc. | Internal Medicine | 1905 Hay Terrace, Easton, PA 18042 | 2019-03-08 |
| 1447770342 | Kimberly Vosbury | Occupational Therapy Assistant | 1926 Fairview Avenue, Easton, PA 18042 | 2017-06-21 |
| 1376082610 | Renew Wellness and Psychotherapy | Social Worker | 133 N 4th Street, Easton, PA 18042 | 2017-02-20 |
| 1275078180 | Felicia Moore | Counselor | 1733 Washington Blvd Ste 108, Easton, PA 18042 | 2017-01-01 |
| 1124563127 | Tara Marie George | Counselor | 1101 Northampton St #201, Pinebrook Family Answers, Easton, PA 18042 | 2016-12-29 |
| 1619325446 | Vinay V Bajaj | Surgery | 250 S. 21st Street, Easton Hospital, Easton, PA 18042 | 2016-06-02 |
| 1457709941 | Matthew Bayly | Specialist/Technologist | 750 West Pierce Street, 132 Kirby Sports Center, Easton, PA 18042 | 2016-05-25 |
| 1063881753 | Mackenzie Sara Hubert | Chiropractor | 524 Northampton St, Easton, PA 18042 | 2015-09-23 |
| 1265838932 | Trisha Gill | Nurse Practitioner | 1536 Northampton St, Easton, PA 18042 | 2014-11-07 |
| Find all providers in zip 18042 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1447740303 | Nirali Morari | Physician Assistant | 3701 Corriere Rd Ste 22, Easton, PA 18045-7991 | 2018-05-16 |
| 1508268111 | Lauren A. Kline | Physician Assistant | 21 Corporate Dr Ste 3, Easton, PA 18045-2664 | 2014-09-25 |
| 1336425206 | Brittany Grier Yerkes | Physician Assistant | 8221 Teal Dr Ste 202, Easton, MD 21601-7229 | 2011-10-24 |
| 1114082971 | Stephen M Ryan | Physician Assistant | 2401 Northampton St Ste 140, Easton, PA 18045-2764 | 2006-12-22 |
| 1790788974 | Jocelyn J Engle | Physician Assistant | 30 Community Dr, Easton, PA 18045-2658 | 2005-05-23 |
| 1962014621 | Serena Ngan | Physician Assistant | 1600 St Lukes Blvd, Easton, PA 18045-5671 | 2020-08-23 |
| 1891334819 | Sabrina Mary Toles | Physician Assistant | 3701 Corriere Rd, Easton, PA 18045-7991 | 2019-12-23 |
| 1669022414 | Jodi Allison Weaknecht | Physician Assistant | 3465 Nazareth Rd Ste 102, Easton, PA 18045-8359 | 2019-09-13 |
| 1285101915 | Daniel Christopher Mcdonald | Physician Assistant | 1872 St Lukes Blvd, Easton, PA 18045-5669 | 2018-10-31 |
| Find all providers in EASTON | ||||
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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.