Bobby Jerald Kelley (NPI# 1417966755, PAC ID# 3971699885) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1417966755 |
| PAC ID by PECOS | 3971699885 |
| Professional Enrollment ID | I20110120000208 |
| Full Name | Bobby Jerald Kelley |
| Address |
6029 Walnut Grove Rd Suite105 Memphis TN 38120-2122 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1963 |
| Primary Specialty | NEPHROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| 250167 | METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL |
| 440131 | BAPTIST MEMORIAL HOSPITAL TIPTON |
| Address | Phone | Organization |
|---|---|---|
| 6029 Walnut Grove Rd, Suite105, Memphis, TN 38120-2122 |
| Street Address |
6029 WALNUT GROVE RD SUITE105 |
| City | MEMPHIS |
| State | TN |
| Zip | 38120-2122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S King Jr. | General Surgery | Saint Francis Physician Network, LLC | 6029 Walnut Grove Rd, Suite 404, Memphis, TN 38120-2112 |
| Guy R Voeller | General Surgery | Baptist Memorial Medical Group, Inc. | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 |
| Mubasher Malik | Rheumatology | Baptist Memorial Medical Group, Inc. | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 |
| David A Gubin | Urology | Urology Group, PC | 6029 Walnut Grove Rd, Suite 300, Memphis, TN 38120-2112 |
| Peter W Carter | Hematology/oncology | Baptist Memorial Medical Group, Inc. | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 |
| Rowena Desouza | Urology | Urology Group, PC | 6029 Walnut Grove Rd, Suite 300, Memphis, TN 38120-2112 |
| Ana L Flores | Ophthalmology | 6029 Walnut Grove Rd, Med Plaza 3 Suite 101, Memphis, TN 38120-2112 | |
| Holly M Rochefort | General Surgery | Saint Francis Physician Network, LLC | 6029 Walnut Grove Rd, Suite 404, Memphis, TN 38120-2112 |
| Cynthia L Rogers | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 |
| Suzanne Burgar | Physician Assistant | Cardiovascular Surgery Clinic, Pllc | 6029 Walnut Grove Rd, Suite 401, Memphis, TN 38120-2112 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Nail | Nurse Practitioner | Carl E Flinn M D P C | 773 Estate Place, Memphis, TN 38120-0600 |
| Casandra B Banks | Qualified Audiologist | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Rande Harris Lazar | Otolaryngology | 791 Estate Pl, Memphis, TN 38120-0600 | |
| Natalie C Kerr | Ophthalmology | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Alicia M Diaz-thomas | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| John Lott Sandidge | Qualified Speech Language Pathologist | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Marilyn J.d Wark | Qualified Speech Language Pathologist | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Nirbhay Parashar | Pediatric Medicine | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Harris L Cohen | Diagnostic Radiology | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Orli M Weisser-pike | Occupational Therapy | Ut Lebonheur Pediatric Specialists, Inc. | 770 Estate Place, Memphis, TN 38120-0600 |
| Find all physicians in zip 38120 | |||
| City | MEMPHIS |
| Zip Code | 38120 |
| Specialty | NEPHROLOGY |
| City + Specialty | MEMPHIS + NEPHROLOGY |
Please comment or provide details below to improve the information on Bobby Jerald Kelley.
| 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.