Shane Matthew Kelly (NPI# 1407941552, PAC ID# 0143264564) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1407941552 |
| PAC ID by PECOS | 0143264564 |
| Professional Enrollment ID | I20120328000777 |
| Full Name | Shane Matthew Kelly |
| Address |
1445 N Loop W Suite 120 Houston TX 77008-1654 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 1998 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1445 N Loop W, Suite 120, Houston, TX 77008-1654 |
| Street Address |
1445 N LOOP W SUITE 120 |
| City | HOUSTON |
| State | TX |
| Zip | 77008-1654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miguel N Tan | Nephrology | 1631 N Loop W, Suite 460, Houston, TX 77008 | |
| Rajesh Shenava | Nephrology | 1801 N Loop W, Suite 35, Houston, TX 77008 | |
| Dana F Mitchell | Nephrology | Global Kidney Center, Pllc | 2525 N Loop W, Suite 600, Houston, TX 77008-1094 |
| Emil Abdulhayoglu | Nephrology | Global Kidney Center, Pllc | 2525 N Loop W, Suite 600, Houston, TX 77008-1094 |
| Han Dang | Internal Medicine | Global Kidney Center, Pllc | 2525 N Loop W, Suite 600, Houston, TX 77008-1094 |
| Mary A Washington | Nephrology | 2525 N Loop W, Suite 600, Houston, TX 77008-1094 | |
| Therese Ndessoko Obioha | Family Medicine | Houston Area Community Services Inc | 2150 W 18th St, Suite 300, Houston, TX 77008-1289 |
| Kymberly N Butler | Family Medicine | Houston Area Community Services Inc | 2150 W 18th St, Suite 300, Houston, TX 77008-1289 |
| Lisa R Holloway | Family Medicine | Houston Area Community Services Inc | 2150 W 18th St, Suite 300, Houston, TX 77008-1289 |
| Eduardo R Chavez Ruiz | Psychiatry | Houston Area Community Services Inc | 2150 W 18th St, Suite 300, Houston, TX 77008-1289 |
| Find all physicians in zip 77008 | |||
| City | HOUSTON |
| Zip Code | 77008 |
| Specialty | CHIROPRACTIC |
| City + Specialty | HOUSTON + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.