KELLY BRENNAN (NPI# 1932673902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932673902 |
Entity Type | Individual |
Full Name | KELLY BRENNAN |
Credential | DPM |
Practice Address |
2701 N Decatur Rd Decatur GA 30033-5918 |
Mailing Address |
2314 Emerald Springs Dr Decatur GA 30035-2632 |
Practice Telephone | 4045017188 |
Mailing Telephone | 4783972662 |
Enumeration Date | 2019-01-14 |
Last Update Date | 2019-01-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001396 | GA | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174131098 | Kelly Leann Brennan | Physical Therapy Assistant | 8679 E San Alberto, Scottsdale, AZ 85258-4368 | 2020-07-16 |
1073944369 | Kelly Elizabeth Brennan | Dietitian, Registered | 837 Southwood Blvd, Incline Village, NV 89451-7434 | 2013-12-11 |
1083619522 | Kelly M Brennan | Physical Therapist | 701 Th Ave Nw, Suite B, Aberdeen, SD 57401 | 2005-06-20 |
1912505603 | Kelly Brennan | Registered Nurse | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2020-10-14 |
1871100685 | Kelly Lynn Brennan | Behavior Technician | 1413 Tech Blvd Ste 122, Tampa, FL 33619-7822 | 2020-09-25 |
1508314527 | Kelly Anne Brennan | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2016-09-19 |
1982052999 | Kelly Rose Brennan | Audiologist | 6060 Hellyer Ave, Suite 150, San Jose, CA 95138-1046 | 2016-05-31 |
1619221462 | Kelly Brennan | Occupational Therapy Assistant | 200 Jhf Dr, Pittsburgh, PA 15217-2950 | 2012-11-01 |
1033468244 | Kelly Ann Brennan | Occupational Therapist | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2012-09-04 |
1164630075 | Kelly Marie Brennan | Speech-Language Pathologist | 214 Lake St, Child Development Center, Shrewsbury, MA 01545-3960 | 2007-05-21 |
Street Address |
2701 N DECATUR RD |
City | DECATUR |
State | GA |
Zip Code | 30033-5918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912900697 | Steve M Covington IIi | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2005-05-24 |
1275142473 | Jeanne Marie Louise Mirbey | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-07-24 |
1639787708 | Erin Marie Webb | Registered Nurse | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-07-15 |
1730705112 | Amitha Dhingra LLC | Psychiatry & Neurology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-06-22 |
1154941714 | John C Haight | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-23 |
1871113787 | Chandler Ligas | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-21 |
1992334973 | Hannah R Schneiders | Student in an Organized Health Care Education/Training Program | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-02 |
1740818814 | Valerie Lynn Rouse Beliard | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-01 |
1134757529 | Daniel Dunlap | Physician Assistant | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-03-31 |
1730714189 | Skye Elizabeth Criswell | Registered Nurse | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-03-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
Find all providers in zip 30033 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073574083 | Jimmy Lee Gregory | Podiatrist | 3546 Covington Hwy, Suite C, Decatur, GA 30032-1823 | 2006-03-29 |
1902886799 | Jerald Noel Kramer | Podiatrist | 215 Clairemont Ave, Decatur, GA 30030-2505 | 2006-01-18 |
1972585990 | Terrence M Graham | Podiatrist | 2 Memorial Dr Ste 305, Decatur, IL 62526-3999 | 2005-11-16 |
1699382879 | Roanoke Foot & Ankle Institute, Pllc | Podiatrist | 1713 S Fm 51 Ste 103, Decatur, TX 76234-3644 | 2020-09-30 |
1275142473 | Jeanne Marie Louise Mirbey | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-07-24 |
1154941714 | John C Haight | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-23 |
1871113787 | Chandler Ligas | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-21 |
1144853649 | Charles Penvose | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-02-13 |
1295375269 | Lauren E Kuenzi | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-01-08 |
1689214546 | Hemesath Podiatry Pllc | Podiatrist | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2020-01-08 |
Find all providers in DECATUR |
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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.