KELLEY CORNELIUS (NPI# 1992265243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992265243 |
Entity Type | Individual |
Full Name | KELLEY CORNELIUS |
Credential | DO |
Practice Address |
7811 Smoke Rise Rd Se Huntsville AL 35802-3915 |
Practice Telephone | 2563188306 |
Mailing Telephone | 2563188306 |
Enumeration Date | 2019-03-22 |
Last Update Date | 2019-03-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
Street Address |
7811 SMOKE RISE RD SE |
City | HUNTSVILLE |
State | AL |
Zip Code | 35802-3915 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
Find all providers in zip 35802 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649823014 | Kelley's Optical | Technician/Technologist | 11821 S Memorial Pkwy, Huntsville, AL 35803-3333 | 2019-07-24 |
1609042670 | William T Neill | Technician/Technologist | 3007 Memorial Pkwy Sw Ste A, Huntsville, AL 35801-5394 | 2008-04-30 |
1174607717 | Wal-mart Stores East, Lp | Technician/Technologist | 6140a University Dr., Huntsville, AL 35806 | 2006-10-24 |
1134574742 | Wal-mart Stores East, Lp | Technician/Technologist | 2165 Winchester Rd Ne, Huntsville, AL 35811-9198 | 2016-05-02 |
1225446206 | Wal-mart Stores East, Lp | Technician/Technologist | 3031 Memorial Pkwy Sw, Huntsville, AL 35801-5304 | 2014-07-23 |
1992919963 | Sherilyn Kay Hay | Technician/Technologist | 310 Clinton Ave W, Huntsville, AL 35801-5527 | 2007-05-09 |
1134264567 | Pearle Vision | Technician/Technologist | 3007 Memorial Pkwy Sw, Huntsville, AL 35801-5393 | 2007-02-21 |
1174609374 | Wal-mart Stores East, Lp | Technician/Technologist | 11610 Memorial Pkwy Sw, Huntsville, AL 35803-2152 | 2006-10-31 |
1972693216 | Sam's Club Optical | Technician/Technologist | 2235 National Blvd Sw, Huntsville, AL 35803-2197 | 2006-10-16 |
1245329192 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Sparkman Dr Nw, Huntsville, AL 35810-3820 | 2006-10-11 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 35802 |
Please comment or provide details below to improve the information on KELLEY CORNELIUS.
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.