Kaidden Kelly (NPI# 1083124135, PAC ID# 1759648249) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083124135 |
| PAC ID by PECOS | 1759648249 |
| Professional Enrollment ID | I20171208002461 |
| Full Name | Kaidden Kelly |
| Organization Legal Name | MF MED INC |
| Address |
75 -184 Hualalai Rd Suite 302 Kailua Kona HI 96740-1719 |
| Phone Number | 8083290111 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0345492955 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 120028 | NORTH HAWAII COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 75 -184 Hualalai Rd, Suite 302, Kailua Kona, HI 96740-1719 | 8083290111 | MF MED INC |
| 64-1035 Mamalahoa Hwy, Suite F, Kamuela, HI 96743-8440 | 8088855900 | FIVE MOUNTAINS HAWAII, INC |
| 65-1158 Mamalahoa Hwy 2d, Kamuela, HI 96743-8492 | 8088855900 | FIVE MOUNTAINS HAWAII, INC |
| 100 Kahelu Ave, Suite 105, Mililani, HI 96789-3913 | 8083290111 | MF MED INC |
| Organization Legal Name | MF MED INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamera Sansone | Physician Assistant | Mf Med Inc | 53 S Puunene Ave, Suite 101, Kahului, HI 96732-2192 |
| Andrew R Branchflower | Physical Therapy | Mf Med Inc | 75 -184 Hualalai Rd, Suite 302, Kailua Kona, HI 96740-1719 |
| Malia Vannatta | Nurse Practitioner | Mf Med Inc | 75 -184 Hualalai Rd, Suite 302, Kailua Kona, HI 96740-1719 |
| Rachel Z Kane | Physical Therapy | Mf Med Inc | 100 Kahelu Ave, Suite 105, Mililani, HI 96789-3913 |
| James F Van Natta | Pain Management | Mf Med Inc | 75 -184 Hualalai Rd, Suite 302, Kailua Kona, HI 96740-1719 |
| Erwin Danzer | Nurse Practitioner | Mf Med Inc | 33 Lono Ave, Suite 240, Kahului, HI 96732-1632 |
| Renee R Fabrizi | Physician Assistant | Mf Med Inc | 75 -184 Hualalai Rd, Suite 302, Kailua Kona, HI 96740-1719 |
| Street Address |
75 -184 HUALALAI RD SUITE 302 |
| City | KAILUA KONA |
| State | HI |
| Zip | 96740-1719 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew R Branchflower | Physical Therapy | Mf Med Inc | 75 -184 Hualalai Rd, Suite 302, Kailua Kona, HI 96740-1719 |
| Lisa A Steinmueller | Nurse Practitioner | Mkk Healthcare Inc | 75 -184 Hualalai Rd, Suite 203, Kailua Kona, HI 96740-1719 |
| Darren S Geliga | Physician Assistant | Mkk Healthcare Inc | 75 -184 Hualalai Rd, Suite 203, Kailua Kona, HI 96740-1719 |
| Malia Vannatta | Nurse Practitioner | Mf Med Inc | 75 -184 Hualalai Rd, Suite 302, Kailua Kona, HI 96740-1719 |
| James F Van Natta | Pain Management | Mf Med Inc | 75 -184 Hualalai Rd, Suite 302, Kailua Kona, HI 96740-1719 |
| Renee R Fabrizi | Physician Assistant | Mf Med Inc | 75 -184 Hualalai Rd, Suite 302, Kailua Kona, HI 96740-1719 |
| Stephen H Denzer | Internal Medicine | Mkk Healthcare Inc | 75 -184 Hualalai Rd, Suite 203, Kailua Kona, HI 96740-1719 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie Irene Thomas | Physician Assistant | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| Elizabeth A Catanzaro | Family Medicine | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| John Littleton | Physician Assistant | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| Nathan C King | Internal Medicine | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| David Alan Arthurs | Family Medicine | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| Jelena Skopinceva | Registered Dietitian Or Nutrition Professional | 75 -5870 Walua Rd, Suite 100, Kailua Kona, HI 96740-1392 | |
| Inna Litvin | Optometry | 75 -1015 Henry St, Suite 700, Kailua Kona, HI 96740-1621 | |
| Brett Carey | Physical Therapy | 75 -5597 Palani Rd, Suite A 1, Kailua Kona, HI 96740-1661 | |
| Amy Hoogs | Physical Therapy | Crossroads Rehab LLC | 75 -1029 Henry St, Suite 101, Kailua Kona, HI 96740-1666 |
| Carlen Koons | Physical Therapy | Crossroads Rehab LLC | 75 -1029 Henry St, Suite 101, Kailua Kona, HI 96740-1666 |
| Find all physicians in zip 96740 | |||
| City | KAILUA KONA |
| Zip Code | 96740 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KAILUA KONA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kaidden 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.