Terri Kelley, NPI 1437202819
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Joplin, MO, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1437202819
NPI Entity Type Organization
Provider Name Terri Kelley
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1801 Katherine Ave, Joplin, MO, US
Provider Mailing Address Po Box 2966, 1801 Katherine St, Joplin, MO, US, 648032966
Is Sole Proprietor? No
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Organization Official

Official Name Michael Kelley
Official Position PRESIDENT
Phone 417-626-9729

Primary Taxonomy

Taxonomy Code

335V00000X

Taxonomy Name Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Classification

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Group

Suppliers

License No. 309
License State MO
Description A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

Other Organization Name

Innovative Mobile Services
Doing Business As

Business Address

Terri Kelley
1801 Katherine Ave

Joplin, MO, US

Phone: 417-626-9729
Fax: 471-206-4113

Mailing Address

Terri Kelley
Po Box 2966
1801 Katherine St
Joplin, MO, US
ZIP 648032966
Phone: 417-626-9729
Fax: 471-206-4113

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
200021670A OK MEDICAID 05
719136509 MO MEDICAID 05
200253180A KS MEDICAID 05

Other Providers in MO, US

NPI Name Taxonomy Address

1679982664

RN, NNP-BC Rachel Renelle Neier

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Erin Alfonso

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Organization

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Integrity Home Care, Llc

Organization

Community Based Hospice Care Agency

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M.D. Eric Jaques Carbonell

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1750037735

LCSW Macey Laplant

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Social Worker

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NNP-BC Alyssa Patterson

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Neonatal Nurse Practitioner

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PLPC Christopher M Mattix

Individual

Case Manager/Care Coordinator

17844 E 23rd St S

Independence, MO

1588389928

DR. PHD Emma Welch

Individual

Psychologist

26515 State Highway 39

Shell Knob, MO

1609591049

John White

Individual

Attendant Care Provider

1411 E Gano Ave

Saint Louis, MO

1487718854

Catholic Comprehensive Services For Children, Child Center-marygrove

Organization

Emotionally Disturbed Childrens' Residential Treatment Facility

2705 Mullanphy Ln

Florissant, MO

1538884978

NP Sarah Enyard

Individual

Family Nurse Practitioner

1600 E Broadway

Columbia, MO

1174248504

Elizabeth Kathleen Smith

Individual

Professional Counselor

829 W Atlantic St

Springfield, MO

1073514600

Odyssey Healthcare Of Kansas City Llc

Organization

Community Based Hospice Care Agency

20101 E Jackson Dr

Independence, MO

1023748134

PT, DPT Klaire Hart Phillips

Individual

Physical Therapist

10801 E State Route 350

Raytown, MO

1316662745

Kristina Daugherty

Individual

Case Manager/Care Coordinator

21 Municipal Dr

Arnold, MO

1245619154

DR. MD Douglas James Cassidy

Individual

Surgery Physician

1 Barnes Jewish Hospital Plz

Div Surg Mis

Saint Louis, MO

1427773852

FNP-C Kyle Douglas Gronberg

Individual

Nurse Practitioner

3801 S National Ave Ste 900

Springfield, MO

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