Barbara E Kelly
BARBARA E KELLY PHD LLC


Address: 100 E Ventris Ave, Maitland, FL 32751-5626
Phone: 4079518812

Barbara E Kelly (NPI# 1851355689, PAC ID# 2365449782) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.

Physician Overview

Nation Provider ID (NPI) 1851355689
PAC ID by PECOS 2365449782
Professional Enrollment ID I20061027000285
Full Name Barbara E Kelly
Organization Legal Name BARBARA E KELLY PHD LLC
Address 100 E Ventris Ave
Maitland
FL 32751-5626
Phone Number 4079518812
Gender F
Medical School UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
Graduation Year 1997
Primary Specialty CLINICAL PSYCHOLOGIST
Group Practice PAC ID 8527069293
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
100 E Ventris Ave, Maitland, FL 32751-5626 4079518812 BARBARA E KELLY PHD LLC

Organization Information

Organization Legal Name BARBARA E KELLY PHD LLC
Physicians 1

Office Location

Street Address 100 E VENTRIS AVE
City MAITLAND
State FL
Zip 32751-5626

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Competitor

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City MAITLAND
Zip Code 32751
Specialty CLINICAL PSYCHOLOGIST
City + Specialty MAITLAND + CLINICAL PSYCHOLOGIST

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Dataset Information

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.

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