Jerald D Kelly (NPI# 1528095460, PAC ID# 4587824404) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1528095460 |
| PAC ID by PECOS | 4587824404 |
| Professional Enrollment ID | I20120329000433 |
| Full Name | Jerald D Kelly |
| Organization Legal Name | LONGVIEW INTEGRATED MEDICINE PLLC |
| Address |
2 Doctor Cir Longview TX 75605-5050 |
| Phone Number | 9037532322 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 1456612217 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2 Doctor Cir, Longview, TX 75605-5050 | 9037532322 | LONGVIEW INTEGRATED MEDICINE PLLC |
| Organization Legal Name | LONGVIEW INTEGRATED MEDICINE PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan B Richardson | Nurse Practitioner | Longview Integrated Medicine Pllc | 2 Doctor Cir, Longview, TX 75605-5050 |
| Lance M Potter | Chiropractic | Longview Integrated Medicine Pllc | 2 Doctor Cir, Longview, TX 75605-5050 |
| Summer Willis | Nurse Practitioner | Longview Integrated Medicine Pllc | 2 Doctor Cir, Longview, TX 75605-5050 |
| Randy V Curtis | Chiropractic | Longview Integrated Medicine Pllc | 2 Doctor Cir, Longview, TX 75605-5050 |
| Street Address |
2 DOCTOR CIR |
| City | LONGVIEW |
| State | TX |
| Zip | 75605-5050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan B Richardson | Nurse Practitioner | Longview Integrated Medicine Pllc | 2 Doctor Cir, Longview, TX 75605-5050 |
| Lance M Potter | Chiropractic | Longview Integrated Medicine Pllc | 2 Doctor Cir, Longview, TX 75605-5050 |
| Summer Willis | Nurse Practitioner | Longview Integrated Medicine Pllc | 2 Doctor Cir, Longview, TX 75605-5050 |
| Randy V Curtis | Chiropractic | Longview Integrated Medicine Pllc | 2 Doctor Cir, Longview, TX 75605-5050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianne J Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Cody R Hopson | Chiropractic | 2901 Judson Rd, Longview, TX 75605-1803 | |
| Leslie A Sanders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Joseph H Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Brenton Robinson | Nurse Practitioner | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy A, Longview, TX 75605-2102 |
| Gregory K Wacasey | Optometry | 2834 Bill Owens Pkwy, Longview, TX 75605-2102 | |
| Edward C Ledbetter | Chiropractic | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy, Suite A, Longview, TX 75605-2102 |
| Candis R Mendoza | Chiropractic | 2706 Bill Owens Pkwy, Longview, TX 75605-2136 | |
| Alex J Smith | Internal Medicine | 2107 Courthouse Dr, Suite 103, Longview, TX 75605-2355 | |
| Rajani Ruth Caesar | Neurology | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Find all physicians in zip 75605 | |||
| City | LONGVIEW |
| Zip Code | 75605 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LONGVIEW + CHIROPRACTIC |
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| 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.