Kelly Renee Deatley (NPI# 1467848952, PAC ID# 0446547772) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1467848952 |
PAC ID by PECOS | 0446547772 |
Professional Enrollment ID | I20170317001912 |
Full Name | Kelly Renee Deatley |
Organization Legal Name | KENTUCKY ORTHOPEDIC REHABILITATION LLC |
Address |
703 E Main St Suite 1 Lebanon KY 40033-8696 |
Phone Number | 2706999503 |
Gender | F |
Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
Graduation Year | 2014 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 0345157293 |
Number of Group Practice Members | 113 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180024 | SPRING VIEW HOSPITAL |
180087 | TAYLOR REGIONAL HOSPITAL |
180025 | FLAGET MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
325 W Walnut St, Suite 600, Lebanon, KY 40033-1378 | 2706999500 | FAMILY AND INTERNAL MEDICINE ASSOCIATES PLLC |
703 E Main St, Suite 1, Lebanon, KY 40033-8696 | 2706999503 | KENTUCKY ORTHOPEDIC REHABILITATION LLC |
Organization Legal Name | KENTUCKY ORTHOPEDIC REHABILITATION LLC |
Physicians | 104 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lyndsay Whitlock | Physical Therapy | Kentucky Orthopedic Rehabilitation LLC | 404 Shoppers Dr, Winchester, KY 40391-1378 |
Katherine O Kinsel | Internal Medicine | Kentucky Orthopedic Rehabilitation LLC | 1547 Bypass Rd, Winchester, KY 40391-2714 |
Brittany L Kersey | Physical Therapy | Kentucky Orthopedic Rehabilitation LLC | 543 Taylorsville Rd, Suite 101, Taylorsville, KY 40071-6766 |
Daniel Colby Newsome | Physician Assistant | Kentucky Orthopedic Rehabilitation LLC | 5006 Atwood Dr, Suite 2, Richmond, KY 40475-8179 |
Christine T Ko | Internal Medicine | Kentucky Orthopedic Rehabilitation LLC | 836 Euclid Ave, Suite 104, Lexington, KY 40502-1783 |
Bryan M Honaker | Family Medicine | Kentucky Orthopedic Rehabilitation LLC | 815 Hillcrest Dr, Suite C, Brandenburg, KY 40108-1415 |
Jill Ellen Crawford | Nurse Practitioner | Kentucky Orthopedic Rehabilitation LLC | 101 Eastside Dr A, Georgetown, KY 40324-8763 |
Andrew W Ryan | Orthopedic Surgery | Kentucky Orthopedic Rehabilitation LLC | 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2289 |
Letitia A Carter | Physician Assistant | Kentucky Orthopedic Rehabilitation LLC | 3070 Lakecrest Cir, Suite 700, Lexington, KY 40513-1770 |
Wallace L Huff | Orthopedic Surgery | Kentucky Orthopedic Rehabilitation LLC | 1650 Bryan Station Rd, Suite 110, Lexington, KY 40505-2139 |
Street Address |
703 E MAIN ST SUITE 1 |
City | LEBANON |
State | KY |
Zip | 40033-8696 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michelle J Leathers | Family Medicine | Kentucky Orthopedic Rehabilitation LLC | 703 E Main St, Suite 1, Lebanon, KY 40033-8696 |
Anne C Morley | Nurse Practitioner | Kentucky Orthopedic Rehabilitation LLC | 703 E Main St, Suite 1, Lebanon, KY 40033-8696 |
David Bryan George | Internal Medicine | Kentucky Orthopedic Rehabilitation LLC | 703 E Main St, Suite 1, Lebanon, KY 40033-8696 |
John Herman Diepold Jr. | Psychologist, Clinical | 703 E Main St, Moorestown, NJ 08057-3082 | |
David M Goldstein | Psychologist, Clinical | 703 E Main St, 2nd Floor, Moorestown, NJ 08057-3082 | |
Cynthia M Saint Cyr | Nurse Practitioner | Advocare LLC | 703 E Main St, Suite 9, Moorestown, NJ 08057-3061 |
Richard V Steeves | Family Medicine | Kentucky Orthopedic Rehabilitation LLC | 703 E Main St, Suite 1, Lebanon, KY 40033-8696 |
Laura L Mccain | Nurse Practitioner | Kentucky Orthopedic Rehabilitation LLC | 703 E Main St, Suite 1, Lebanon, KY 40033-8696 |
Donna Marie Bragg | Nurse Practitioner | 703 E Main St, Unit 8, Lebanon, KY 40033-8696 | |
William D Kirk | Internal Medicine | Kentucky Orthopedic Rehabilitation LLC | 703 E Main St, Suite 1, Lebanon, KY 40033-8696 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Stanley A Kristiansen | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 320 Loretto Rd, Lebanon, KY 40033-1300 |
Scott B Babin | Diagnostic Radiology | Vip Imaging, Pllc | 320 N Loretto Rd, Lebanon, KY 40033-1300 |
Sean M Ladson | Diagnostic Radiology | Vip Imaging, Pllc | 320 N Loretto Rd, Lebanon, KY 40033-1300 |
Brittany J Schulz | Diagnostic Radiology | Vip Imaging, Pllc | 320 N Loretto Rd, Lebanon, KY 40033-1300 |
Gary Leonard Waldron | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 320 Loretto Rd, Lebanon, KY 40033-1300 |
Takasha Stewart-hubbard | Hospitalist | Hospital Medicine Services of Tennessee PC | 320 N Loretto Rd, Lebanon, KY 40033-1300 |
James Adam Montgomery | Anesthesiology | Kentucky Anesthesia Group Psc | 320 Loretto Rd, Lebanon, KY 40033-1300 |
Jesus Siady | Family Medicine | Hospital Medicine Services of Tennessee PC | 320 N Loretto Rd, Lebanon, KY 40033-1300 |
Angela O Greenwell | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 320 Loretto Rd, Lebanon, KY 40033-1300 |
Harleen Chahil | Internal Medicine | Hospital Medicine Services of Tennessee PC | 320 N Loretto Rd, Lebanon, KY 40033-1300 |
Find all physicians in zip 40033 |
City | LEBANON |
Zip Code | 40033 |
Specialty | FAMILY MEDICINE |
City + Specialty | LEBANON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kelly Renee Deatley.
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.