Debbie L Kelly (NPI# 1518256635, PAC ID# 0648456129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518256635 |
| PAC ID by PECOS | 0648456129 |
| Professional Enrollment ID | I20110518000020 |
| Full Name | Debbie L Kelly |
| Organization Legal Name | CLINICAL RESEARCH ASSOCIATES PC |
| Address |
6301 Humbert Rd Godfrey IL 62035-2163 |
| Phone Number | 6184460367 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5597662080 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260025 | HANNIBAL REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6301 Humbert Rd, Godfrey, IL 62035-2163 | 6184460367 | CLINICAL RESEARCH ASSOCIATES PC |
| 840 Passover Rd, Osage Beach, MO 65065-2834 | 5733020319 | NHC RELIANT PSYCHIATRIC SERVICES LLC |
| Organization Legal Name | CLINICAL RESEARCH ASSOCIATES PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol D Blacksher | Certified Clinical Nurse Specialist (cns) | Clinical Research Associates PC | 3535 S Jefferson Ave, Suite 118, St Louis, MO 63118-3907 |
| Mudasir Asif | Psychiatry | Clinical Research Associates PC | 3535 S Jefferson Ave, Suite 118, St Louis, MO 63118-3907 |
| Jenna M Collins Reed | Clinical Social Worker | Clinical Research Associates PC | 3535 S Jefferson Ave, Suite 118, St Louis, MO 63118-3907 |
| Sherifa F Iqbal | Psychiatry | Clinical Research Associates PC | 3535 S Jefferson Ave, Suite 118, St Louis, MO 63118-3907 |
| Susan J Akins | Certified Clinical Nurse Specialist (cns) | Clinical Research Associates PC | 3535 S Jefferson Ave, Suite 118, St Louis, MO 63118-3907 |
| Cynthia Renee Hays | Nurse Practitioner | Clinical Research Associates PC | 3535 S Jefferson Ave, Suite 118, St Louis, MO 63118-3907 |
| Syed N Zaidi | Geriatric Psychiatry | Clinical Research Associates PC | 3535 S Jefferson Ave, Suite 118, St Louis, MO 63118-3907 |
| Junaid M Syed | Psychiatry | Clinical Research Associates PC | 3535 S Jefferson Ave, Suite 118, St Louis, MO 63118-3907 |
| Allison N Brauch | Nurse Practitioner | Clinical Research Associates PC | 3535 S Jefferson Ave, Suite 118, St Louis, MO 63118-3907 |
| Monique L Manderson | Nurse Practitioner | Clinical Research Associates PC | 3535 S Jefferson Ave, Suite 118, St Louis, MO 63118-3907 |
| Street Address |
6301 HUMBERT RD |
| City | GODFREY |
| State | IL |
| Zip | 62035-2163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Coldore Joseph Hopper Iv | Qualified Audiologist | 1344 Dadrian Professional Park, Godfrey, IL 62035-1685 | |
| Jon Anthony Wagnon | Osteopathic Manipulative Medicine | 1368 Dadrian Professional Park, Godfrey, IL 62035-1685 | |
| Andrew J Woulfe | Chiropractic | 1316 Dadrian Professional Park, Godfrey, IL 62035-1685 | |
| Sadiq Mohyuddin | Internal Medicine | 1309 Dadrian Professional Park, Godfrey, IL 62035-1686 | |
| Brianna M Fritsch | Clinical Social Worker | Calm Waters Counseling and Resource Center Inc | 5090 Humbert Rd, Godfrey, IL 62035-1951 |
| Lori Behrens | Clinical Social Worker | Calm Waters Counseling and Resource Center Inc | 5090 Humbert Rd, Godfrey, IL 62035-1951 |
| Kristi A Lemley | Clinical Social Worker | Calm Waters Counseling and Resource Center Inc | 5090 Humbert Rd, Godfrey, IL 62035-1951 |
| Patricia Gregory | Clinical Social Worker | Calm Waters Counseling and Resource Center Inc | 5090 Humbert Rd, Godfrey, IL 62035-1951 |
| Melissa G Kulp | Nurse Practitioner | Osf Multi-specialty Group | 6702 Godfrey Rd, Godfrey, IL 62035-2205 |
| Angelina M Leitschuh | Nurse Practitioner | Osf Multi-specialty Group | 6702 Godfrey Rd, Godfrey, IL 62035-2205 |
| Find all physicians in zip 62035 | |||
| City | GODFREY |
| Zip Code | 62035 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GODFREY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Debbie L Kelly.
| 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.