KATHLEEN KELLEY


Address: 464 Congress Ave, Suite 260, New Haven, CT 06519-1361
Phone: 2037854404

KATHLEEN KELLEY (NPI# 1952773525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952773525
Entity Type Individual
Full Name KATHLEEN KELLEY
Practice Address 464 Congress Ave
Suite 260
New Haven
CT 06519-1361
Mailing Address 31 Beechwood Rd
Branford
CT 06405-3203
Practice Telephone 2037854404
Mailing Telephone 2036408523
Enumeration Date 2015-10-22
Last Update Date 2015-10-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3442 CT Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHLEEN KELLEY

NPI Name Taxonomy Address Enumeration
1972910925 Kathleen Kelley Social Worker 2813e Wyoming Dr, Sinking Spring, PA 19608-1618 2014-07-22
1568691756 Kathleen Kelley Nurse Practitioner 15110 Boones Ferry Rd Ste 248, Lake Oswego, OR 97035-3498 2009-07-08
1477617447 Kathleen Kelley Counselor 99 University Place, 4th Floor, New York, NY 10003-8971 2006-12-21
1649388513 Kathleen M Kelley Nurse Practitioner 1952 Long Grove Dr, Suite 202, Mt Pleasant, SC 29464 2006-08-29
1265443014 Kathleen Cranford Kelley Nurse Practitioner 1092 General George Patton Rd, Nashville, TN 37221-2599 2006-08-10
1871501353 Kathleen Ann Kelley Pharmacist 2943 Seneca Street, West Seneca, NY 14224-1950 2006-08-03
1992760797 Kathleen S. Kelley Internal Medicine 498 University Blvd, Suite F, Harrisonburg, VA 22801 2006-04-18
1245626225 Kathleen Kelley Dermatology 1815 E Ireland Rd, South Bend, IN 46614 2015-04-07
1861882557 Kathleen Helen Kelley Dietitian, Registered 15 Palomba Dr, 2, Enfield, CT 06082-3888 2015-02-02
1285961839 Kathleen Kelley Physical Therapist 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 2009-11-03

Office Location

Street Address 464 CONGRESS AVE
SUITE 260
City NEW HAVEN
State CT
Zip Code 06519-1361

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952366437 David Della-giustina Emergency Medicine 464 Congress Ave, Suite 260, New Haven, CT 06519-1361 2006-04-19
1528697760 George Mcginniss Student in an Organized Health Care Education/Training Program 464 Congress Ave, New Haven, CT 06519-1361 2020-04-08
1093240871 David Nathan Suwondo Student in an Organized Health Care Education/Training Program 464 Congress Ave, Suite 260, New Haven, CT 06519-1361 2017-04-28
1992230924 Colin Thomas Flood Emergency Medicine 464 Congress Ave, Suite 260, New Haven, CT 06519-1361 2017-04-27
1407380389 Jennifer Farrell Student in an Organized Health Care Education/Training Program 464 Congress Ave, Suite #260, New Haven, CT 06519-1361 2017-04-17
1730613134 Usama Qadri Student in an Organized Health Care Education/Training Program 464 Congress Ave, Suite #260, New Haven, CT 06519-1361 2017-04-12
1053844779 Jonathan Meldrum Emergency Medicine 464 Congress Ave, Suite #260, New Haven, CT 06519-1361 2017-04-10
1033642806 Emmanuel Ohuabunwa Student in an Organized Health Care Education/Training Program 464 Congress Ave, Suite #260, New Haven, CT 06519-1361 2017-04-07
1508399874 Ryan James John Buckley Student in an Organized Health Care Education/Training Program 464 Congress Ave, Suite #260, New Haven, CT 06519-1361 2017-04-04
1568994523 Oliver Frank Peter Hulland Emergency Medicine 464 Congress Ave, Suite #260, New Haven, CT 06519-1361 2017-03-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819348 Jordan Ficocelli Nurse Practitioner 800 Howard Ave # 2, New Haven, CT 06519 2018-08-01
1780123414 Claire Louise Hardin General Acute Care Hospital 95 Howard Ave, New Haven, CT 06519 2017-02-14
1467809137 Ana Laura Vives-rodriguez Student in an Organized Health Care Education/Training Program 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 2016-05-23
1346607785 Amanda Kayte Corcoran Advanced Practice Midwife 40 Prince St., Suite 207, New Haven, CT 06519 2016-01-15
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
1194136713 Krishan Ratilal Jethwa Radiology 35 Park St Ste Ll507, New Haven, CT 06519 2014-05-16
1235549353 Brandon Michael Kitay Psychiatry & Neurology 184 Liberty St # Lv108, New Haven, CT 06519 2014-04-28
1649526617 Yale New Haven Hospital Student in an Organized Health Care Education/Training Program 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 2012-07-27
1669736765 Mayanka Tickoo Internal Medicine 300 Cedar St Fl 4, New Haven, CT 06519 2012-07-03
1730441627 Judith A Ross Physical Therapist 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 2012-06-15
Find all providers in zip 06519

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477170546 Kanwon Garley Physician Assistant 371 Alden Ave Apt 12b, New Haven, CT 06515-2146 2020-07-06
1366097271 Lana Monashkin Physician Assistant 939 State St Apt C, New Haven, CT 06511-7318 2019-08-07
1013479898 Andrea Ferraro Physician Assistant 35 Park St Rm 209, New Haven, CT 06519-1110 2019-04-02
1255875035 Sarah Geanne Coffin Physician Assistant 51 Perkins St, New Haven, CT 06513-3210 2016-12-13
1790146066 Philip Logan Physician Assistant 112 Dwight St Apt 29, New Haven, CT 06511-4532 2016-03-15
1962872523 Diana G Poulsen Physician Assistant Yale New Haven Pediatric Ed, 1 Park St, New Haven, CT 06504 2015-09-25
1992192827 Theodora Fraser Mcpherson Physician Assistant 151 Clifton St, New Haven, CT 06513-3319 2015-04-17
1851658561 Tara Cotton Physician Assistant 20 York St Spc 2213, Mdrad Diagnostic Radiology, New Haven, CT 06510-3220 2012-04-19
1508147745 Molly E Band Physician Assistant 1 Park St Fl 2, New Haven, CT 06504-8901 2011-09-01
1114243482 Megan Elizabeth Dieterich Physician Assistant 175 W Park Ave, New Haven, CT 06511-2928 2010-04-12
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06519

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Dataset Information

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.

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