KELLY KALANQUIN (NPI# 1912516543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912516543 |
Entity Type | Individual |
Full Name | KELLY KALANQUIN |
Practice Address |
1450 S Lapeer Rd Oxford MI 48371-6108 |
Practice Telephone | 2489699932 |
Mailing Telephone | 2489699932 |
Mailing Fax Number | 2489690840 |
Enumeration Date | 2020-07-29 |
Last Update Date | 2020-07-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
Street Address |
1450 S LAPEER RD |
City | OXFORD |
State | MI |
Zip Code | 48371-6108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609857978 | Training & Treatment Innovations Inc | Community/Behavioral Health | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2005-11-14 |
1659986362 | Samantha Carol Dorman | Behavior Technician | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2020-09-09 |
1265046056 | Cynthia Marie Scheuer | Behavior Technician | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2020-08-31 |
1487272894 | Jennifer Nicole Mae Lechnyr | Case Manager/Care Coordinator | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2020-07-13 |
1952926446 | Melissa Christine Iacobelli-champion | Registered Nurse | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2020-06-10 |
1639793896 | Robyn Utt | Behavior Technician | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2020-06-03 |
1689295859 | Steven Cory Mcquistion | Case Manager/Care Coordinator | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2020-04-29 |
1356985824 | Heather Arnold | Social Worker | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2019-10-29 |
1093357899 | Erin Madding | Specialist | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2019-10-13 |
1568011195 | Kathryn Burman | Peer Specialist | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2019-09-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164915005 | Robyn Marie Ankawi | Counselor | 930 E Drahner Rd, Oxford, MI 48371 | 2018-06-13 |
1225557184 | Laurie Bueche | Social Worker | 1450 S Lapeer Road, Oxford, MI 48371 | 2017-09-12 |
1417480708 | Adam Renard Burton | Student in an Organized Health Care Education/Training Program | 801 Vivian Ln, Oxford, MI 48371 | 2017-04-04 |
1104378926 | Kayla Lynn Thrushman | Counselor | 2b. S. Washington Ave., Oxford, MI 48371 | 2016-10-27 |
1588092191 | J&j Medical, Inc. | Durable Medical Equipment & Medical Supplies | 141 Cheltenham Ln, Oxford, MI 48371 | 2013-10-16 |
1801232368 | Angela Mary Ramsey | Social Worker | 1450 N Lapeer Rd, Oxford, MI 48371 | 2013-05-10 |
1598040271 | Walgreen Co | Pharmacy | 7110 Dixie Hwy., Clarkston, MI 48371 | 2011-10-13 |
1417108945 | Best Value Pharmacy LLC | Pharmacy | 72 S Oxford, Suite 207, Oxford, MI 48371 | 2008-10-02 |
1497953533 | Rachel Maryann Klamo | Family Medicine | 72 South Washington St., Suite 204, Oxford, MI 48371 | 2007-07-10 |
1528185378 | Gregory Michael Garvin | Preventive Medicine | 760 Woodleigh Way, Oxford, MI 48371 | 2007-03-26 |
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Taxonomy Code | 156F00000X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
A broad category grouping different kinds of technologists and technicians. See individual definitions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679173942 | Madison Lynn-grayce Baker | Technician/Technologist | 32100 Telegraph Rd # 32100205, Bingham Farms, MI 48025-2452 | 2020-10-27 |
1164021424 | Jennifer Julia Schneider Stahl | Technician/Technologist | 1327 Cynthia Ave, Madison Heights, MI 48071-2697 | 2020-10-19 |
1114525847 | Monica Nikollbibaj | Technician/Technologist | 49970 Van Dyke Ave, Shelby Township, MI 48317-1347 | 2020-10-14 |
1992312342 | Brittany Moeller | Technician/Technologist | 1200 E Grand River Ave Apt 27, East Lansing, MI 48823-4922 | 2020-09-29 |
1639785801 | Diamond B Haynes | Technician/Technologist | 32100 Telegraph Rd Ste 209, Bingham Farms, MI 48025-2454 | 2020-09-22 |
1326654013 | Mariah Pino | Technician/Technologist | 15004 Mclain Ave, Allen Park, MI 48101-1819 | 2020-09-18 |
1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
1245842079 | Wasseem Haidar | Technician/Technologist | 32100 Telegraph Rd Ste 20548025, Bingham Farms, MI 48025-2452 | 2020-08-21 |
1336759158 | Cameron White | Technician/Technologist | 32100, Suite 205, Bingham Farms, MI 48025-2452 | 2020-08-06 |
1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
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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.