Mrs. Kelly Christine Collins (NPI# 1790174167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1790174167 |
| Entity Type | Individual |
| Full Name | Mrs. Kelly Christine Collins |
| Credential | NMD |
| Gender | Female |
| Practice Address |
42211 N 41st Dr. #a109 Phoenix AZ 85086 |
| Practice Telephone | 6233998222 |
| Practice Fax Number | 6234558872 |
| Mailing Address |
42211 N 41st Dr. #a109 Phoenix AZ 85086 |
| Mailing Telephone | 6233998222 |
| Mailing Fax Number | 6234558872 |
| Sole Proprietor | No, this individual is not a Sole Proprietor |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2020-01-03 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | 06-964 | AZ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376050997 | Kelly Collins | Specialist | 3923 S 10th Ave, Caldwell, ID 83605-6762 | 2018-01-04 |
| 1386193779 | Kelly Collins | Counselor | 4221 S Mlk Blvd, Lansing, MI 48910-5201 | 2016-09-26 |
| 1003171711 | Kelly Michelle Collins | Counselor | 15803 Ne 23rd St # B, Choctaw, OK 73020-8428 | 2012-07-09 |
| 1831489442 | Kelly Collins | Neurological Surgery | 3303 S Bond Ave # Ch8n, Portland, OR 97239-4501 | 2011-04-15 |
| 1093027690 | Kelly Collins | Occupational Therapist | 1378 Highland Village Dr, Apt 24, Duluth, MN 55811-5274 | 2010-07-12 |
| 1073682647 | Kelly S Collins | Social Worker | 130 E 101st St, New York, NY 10029-6106 | 2006-11-07 |
| 1972555258 | Kelly Denene Gonzales Collins | Family Medicine | 2211 Capehart Rd, Suite 104, Bellevue, NE 68123-2121 | 2006-05-16 |
| 1801361019 | Kelly Anne Collins | Nurse Practitioner | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2018-10-04 |
| 1811477367 | Kelly Lynn Collins | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2018-08-15 |
| 1568958999 | Kelly Christine Collins | Occupational Therapy Assistant | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2018-07-09 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427735 | Derma Healthcare Solutions Pllc | Dermatology | 4716 E Thunderbird Rd, Phoenix, AZ 85032-5541 | 2020-05-04 |
| 1114567997 | J. Robert West, M.d., Inc | Dermatology | 12251 N 32nd St Ste 12, Phoenix, AZ 85032-7144 | 2020-01-09 |
| 1114485646 | Saguaro Dermatology Associates LLC | Dermatology | 3400 E Mcdowell Rd Fl 2, Phoenix, AZ 85008-3884 | 2019-03-04 |
| 1396122727 | Thomas Lee | Dermatology | 2525 W Carefree Hwy Ste 144, Phoenix, AZ 85085-6096 | 2015-05-06 |
| 1215374186 | Ramin Fathi | Dermatology | 4550 E Bell Rd Bldg 5, Phoenix, AZ 85032-9390 | 2013-05-31 |
| 1699087809 | Morgan James Mackey | Dermatology | 9327 N 3rd St Ste 206, Phoenix, AZ 85020-2473 | 2010-07-06 |
| 1609900299 | Lindsay Skye Ackerman | Dermatology | 1331 N 7th St Ste 250, Phoenix, AZ 85006-2722 | 2007-03-15 |
| 1538238373 | Susan Il Iorio | Dermatology | 4400 N. 32nd Street, Ste250, Phoenix, AZ 85018 | 2006-11-07 |
| 1598869687 | Mark Richard Rosenberg | Dermatology | 20950n Tatum Blvd 350, Phoenix, AZ 85050-4256 | 2006-09-11 |
| 1538272596 | Peter J. Casper | Dermatology | 2928 N 18th Pl, Peter J. Casper, M.d., Phoenix, AZ 85016-7705 | 2006-08-16 |
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| Street Address |
42211 N 41ST DR. #A109 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
| 1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
| 1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
| 1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
| 1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
| 1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
| 1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
| 1922350404 | A Touch of Desert Class L.l.c. | Community Based Residential Treatment Facility, Mental Illness | 38718 N 29th Ave, Phoenix, AZ 85086 | 2012-10-09 |
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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.