Richard J Kelly (NPI# 1376535419, PAC ID# 0941488803) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1376535419 |
| PAC ID by PECOS | 0941488803 |
| Professional Enrollment ID | I20110623000137 |
| Full Name | Richard J Kelly |
| Address |
1122 Loop 304 Po Box 1189 Crockett TX 75835-1189 |
| Phone Number | 9365442157 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451393 | |
| 450747 | PALESTINE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1050 E Loop, 304 Crockett Medical Center Clinic, Crockett, TX 75835-1814 | 9365463890 | CROCKETT MEDICAL CENTER, LLC |
| 1122 Loop 304, Po Box 1189, Crockett, TX 75835-1189 | 9365442157 |
| Street Address |
1122 LOOP 304 PO BOX 1189 |
| City | CROCKETT |
| State | TX |
| Zip | 75835-1189 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher R Haeckler | Family Medicine | 1122 Loop 304, Crockett, TX 75835-1189 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley V White | Chiropractic | 500 E Pease Ave, Crockett, TX 75835-1644 | |
| Candace L Adkins | Nurse Practitioner | Claris Health Pllc | 1116 E Loop, 304 Whitehall Rehab and Nursing, Crockett, TX 75835-1810 |
| Frank A Smith | Family Practice | 1122 E Loop, Suite 304, Crockett, TX 75835-1810 | |
| Ronald R Eikenhorst | Diagnostic Radiology | Bryan Radiology Associates | 1100 E Loop, Suite 304, Crockett, TX 75835-1810 |
| Craig S Yetter | Emergency Medicine | Concord Medical Group of Texas Pllc | 1100 E Loop, Suite 304, Crockett, TX 75835-1810 |
| Bronson Shane Tindall | Diagnostic Radiology | Bryan Radiology Associates | 1100 E Loop, Suite 304, Crockett, TX 75835-1810 |
| Kenneth R Close | Diagnostic Radiology | Bryan Radiology Associates | 1100 E Loop, Suite 304, Crockett, TX 75835-1810 |
| Natalie Ea Bachynsky | Nurse Practitioner | Crockett Medical Center, LLC | 1100 E Loop, 304 Crockett Med Center Clinic, Crockett, TX 75835-1810 |
| Pulin P Patel | Diagnostic Radiology | Bryan Radiology Associates | 1100 E Loop, Suite 304, Crockett, TX 75835-1810 |
| Douglas L Robinson | Emergency Medicine | Concord Medical Group of Texas Pllc | 1100 E Loop, Suite 304, Crockett, TX 75835-1810 |
| Find all physicians in zip 75835 | |||
| City | CROCKETT |
| Zip Code | 75835 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CROCKETT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard J 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.