Kelly L Kelly (NPI# 1003228446, PAC ID# 4385867787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003228446 |
| PAC ID by PECOS | 4385867787 |
| Professional Enrollment ID | I20140603000350 |
| Full Name | Kelly L Kelly |
| Organization Legal Name | MED MANAGEMENT INDIANA PC |
| Address |
3400 W Community Dr Muncie IN 47304-5459 |
| Phone Number | 2106153483 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5698027266 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3400 W Community Dr, Muncie, IN 47304-5459 | 2106153483 | MED MANAGEMENT INDIANA PC |
| Organization Legal Name | MED MANAGEMENT INDIANA PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce Ann Davis | Nurse Practitioner | Med Management Indiana PC | 3400 W Community Dr, Muncie, IN 47304-5459 |
| Street Address |
3400 W COMMUNITY DR |
| City | MUNCIE |
| State | IN |
| Zip | 47304-5459 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce Ann Davis | Nurse Practitioner | Med Management Indiana PC | 3400 W Community Dr, Muncie, IN 47304-5459 |
| Roger W Perry | Psychologist, Clinical | Deer Oaks Illinois LLC | 3400 W Community Dr, Muncie, IN 47304-5459 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna Sue Cray | Chiropractic | 4721 N Wheeling Ave, Muncie, IN 47304-1222 | |
| Sai R Karlapudi | Allergy/immunology | 4505 N Wheeling Ave, Muncie, IN 47304-1284 | |
| Kenneth Patterson | Oral Surgery | 1608 W Yale Ave, Muncie, IN 47304-1569 | |
| Michael J Jobe | Chiropractic | Clear Chiropractic Indiana, LLC | 3895 N Wheeling Ave, Clear Choice Chiropractic, Muncie, IN 47304-1776 |
| Kim L Neibert | Chiropractic | 3504 N Wheeling Ave, Muncie, IN 47304-2042 | |
| Samuel R Simmons | Optometry | 1608 W Mcgalliard Rd, Muncie, IN 47304-2205 | |
| Linh T Vu | Chiropractic | 1816 W Royale Dr, Muncie, IN 47304-2243 | |
| Kristin Perrone-mcgovern | Psychologist, Clinical | Psychological Assessment and Consulting, PC | 1806 W Royale Dr, Muncie, IN 47304-2243 |
| Charles William Bartholome | Dermatology | Dermatology Clinic of Muncie, Inc. | 1808 W Royale Dr, Muncie, IN 47304-2243 |
| Alan Maugherman | Psychologist, Clinical | Psychological Assessment and Consulting, PC | 1806 W Royale Dr, Muncie, IN 47304-2243 |
| Find all physicians in zip 47304 | |||
| City | MUNCIE |
| Zip Code | 47304 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MUNCIE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly 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.