KELSEY B GLOVER
Physician Assistant (Medical)

Address: 124 Ewing Dr, Portland, TN 37148-1681

KELSEY B GLOVER (NPI# 1265026041) 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) 1265026041
Entity Type Individual
Full Name KELSEY B GLOVER
Gender Female
Credential PA-C
Practice Address 124 Ewing Dr
Portland
TN 37148-1681
Practice Telephone 6157146065
Mailing Address 124 Ewing Dr
Portland
TN 37148-1681
Mailing Telephone 6157146065
Certification Date 2021-03-06
Enumeration Date 2021-02-23
Last Update Date 2021-03-06
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 124 EWING DR
City PORTLAND
State TN
Zip Code 37148-1681

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1427608645 Carehere LLC Family Medicine Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 2019-09-19
1710494117 Lydia Ellen Hicks · Lydia Ellen Boyce Registered Nurse · Community Health 214 W. Longview Drive, Portland, TN 37148 2018-01-08
1487903696 Jennifer Leigh Toney Registered Nurse 101 Maurice Ct, Portland, TN 37148 2012-09-04
1366712770 Pamela Poghen Registered Nurse · Community Health 235 Hwy 52 E, Portland, TN 37148 2012-01-03
1225200306 Lisa Nazarenus Nurse Practitioner 307 S Broadway, Portland, TN 37148 2008-03-28
1003090036 State of Tennessee · Sumner County Portland Clinic Public Health or Welfare 214 West Longview Drive, Portland, TN 37148 2007-12-27
1437256930 Tennessee Cvs Pharmacy LLC · Cvs Pharmacy #07630 Durable Medical Equipment & Medical Supplies 304 A S Broadway Ste A, Portland, TN 37148 2006-09-20
1568494243 Melissa R Cook Nurse Practitioner · Family 932-B South Broadway, Portland, TN 37148 2006-07-06
1770523748 Jason A Bruns Physical Therapist 121 Village Dr, 103, Portland, TN 37148 2006-06-07
1841350196 Edward Freeman Kirkpatrick Jr. Dentist 307 Reed St, Portland, TN 37148-0410 2006-12-09
Find all providers in zip 37148

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780285221 Jessica Anne Dejong 1111 Ne 99th Ave Ste 201, Portland, OR 97220-9442 2020-11-02
1164054979 Paxton Stein 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-02-10
1356971113 Shoshana G Spiro 3181 Sw Sam Jackson Park Rd, Mailcode: Oc14ho, Portland, OR 97239-3011 2020-01-21
1033759212 Derrick Michael Jones 12710 Se Division St, Portland, OR 97236-3134 2020-01-15
1871158204 Jill J Storey 2730 Sw Moody Ave, Mail Code: Cl5pa, Portland, OR 97201 2019-05-01
1992368468 Sarah Keith 22 Bramhall St, Portland, ME 04102-3134 2019-04-19
1003388851 Molly Anderson · Molly Cannon 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 2018-12-18
1073081428 Ishah Marie Price 30 Preble St Apt 663, Portland, ME 04101-4939 2018-11-04
1538644158 Bailey Ryan 22 Bramhall St, Portland, ME 04102-3175 2018-09-28
1952886830 Jennifer Hogan 22 Bramhall St, Portland, ME 04102-3134 2018-09-26
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 37148

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1477068849 Dannie W Glover · Glover Primary Care Clinic/Center · Primary Care 1550 Sparta St Ste 7, Mcminnville, TN 37110-1315 2017-12-07
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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.