DENNIS A KELLY (NPI# 1902023757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902023757 |
| Entity Type | Individual |
| Full Name | DENNIS A KELLY |
| Credential | MD |
| Practice Address |
University Park Helath Ctr 849 W 34th St Los Angeles CA 90089-0311 |
| Mailing Address |
2920 Neilson Way 403 Santa Monica CA 90405 |
| Practice Telephone | 2137409355 |
| Mailing Telephone | 3103963980 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G26518 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518919174 | Dennis Allan Kelly | Clinical Neuropsychologist | Psychology Dept., Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2006-05-16 |
| 1114984762 | Dennis Michael Kelly Jr. | Physical Therapist | 2235 N Sheffield Ave, Chicago, IL 60614-3621 | 2006-04-27 |
| 1417947748 | Dennis Hughes Kelly IIi | Internal Medicine | 7704 Marine Rd, North Bergen, NJ 07047-6203 | 2005-10-27 |
| 1558421446 | Dennis Clay Kelly | Psychiatry & Neurology | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-12-11 |
| 1114028529 | Dennis F Kelly | Dentist | 2005 Knight Lane Navy Medicine Support Command, Attn: Medical Staff Services Bldg. H, Jacksonville, FL 32212-0140 | 2006-09-26 |
| 1114939162 | Dennis B. Kelly | Internal Medicine | 1401 Harrodsburg Rd Ste A300, Lexington, KY 40504-3787 | 2006-08-11 |
| 1619909793 | Dennis G Kelly | Orthopaedic Surgery | 27483 Dequindre Rd, Suite 303a, Madison Heights, MI 48071-3491 | 2006-07-07 |
| 1376524132 | Dennis William Kelly Jr. | Dentist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2005-11-09 |
| 1104824093 | Dennis L Kelly | Anesthesiology | 88 Mcgregor St, Ste 303, Manchester, NH 03102-3750 | 2005-07-13 |
| Street Address |
UNIVERSITY PARK HELATH CTR 849 W 34TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90089-0311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
| 1548763675 | Tien Ng | Pharmacist | Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 | 2018-03-15 |
| 1821503236 | Theodore James Goldsmith | Psychologist | 1031 W 34th St Fl 3, Los Angeles, CA 90089 | 2017-12-07 |
| 1174046890 | Erin Lindsay Mcintyre | Occupational Therapist | 1540 Alcazar Street, Chp 133, Los Angeles, CA 90089 | 2017-07-25 |
| 1831645571 | Alyssa Cantal | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 | 2016-09-01 |
| 1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
| 1528412376 | Mark Duan Ard Jr. | Psychiatry & Neurology | 1975 Zonal Ave, Los Angeles, CA 90089 | 2016-04-18 |
| 1851766679 | Samantha Trout | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St Chp-133, Los Angeles, CA 90089 | 2015-12-04 |
| 1215324363 | Upama Giri | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 | 2015-04-15 |
| 1982015004 | Martrice Ways | Student in an Organized Health Care Education/Training Program | 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 | 2014-05-12 |
| Find all providers in zip 90089 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1124536289 | Edward Meltser | General Practice | 469 N Alfred St, Los Angeles, CA 90048-2504 | 2018-01-11 |
| 1023524980 | St. Johns Urgent Care & Medical Corporation | General Practice | 1138 N Western Ave, Los Angeles, CA 90029-1702 | 2017-12-14 |
| 1992234199 | David Ghods | General Practice | 3631 Crenshaw Blvd Ste 109, Los Angeles, CA 90016-4869 | 2017-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90089 |
Please comment or provide details below to improve the information on DENNIS A KELLY.
| 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.