Bethany B Kelly (NPI# 1568501831, PAC ID# 5294877825) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED AUDIOLOGIST.
| Nation Provider ID (NPI) | 1568501831 |
| PAC ID by PECOS | 5294877825 |
| Professional Enrollment ID | I20100120000730 |
| Full Name | Bethany B Kelly |
| Organization Legal Name | EAR,NOSE AND THROAT ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C. |
| Address |
201 Boston Post Rd Waterford CT 06385-2805 |
| Phone Number | 8604420407 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | QUALIFIED AUDIOLOGIST |
| Group Practice PAC ID | 3678607470 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 201 Boston Post Rd, Waterford, CT 06385-2805 | 8604420407 | EAR,NOSE AND THROAT ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C. |
| Organization Legal Name | EAR,NOSE AND THROAT ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Lord Vincent | Otolaryngology | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 201 Boston Post Rd, Waterford, CT 06385-2805 |
| David S Boisoneau | Otolaryngology | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 14 Masons Island Rd, 2b, Mystic, CT 06355-2958 |
| Frank R Dellacono | Otolaryngology | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 365 Montauk Ave, New London, CT 06320-4700 |
| Raymond A Gaito Jr. | Otolaryngology | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 365 Montauk Ave, New London, CT 06320-4700 |
| F. Gervan Mlynarski | Otolaryngology | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 365 Montauk Ave, New London, CT 06320-4700 |
| Russell Otto | Physician Assistant | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 201 Boston Post Rd, Waterford, CT 06385-2805 |
| Christine H Kendall | Qualified Audiologist | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 14 Masons Island Rd, 2b, Mystic, CT 06355-2958 |
| Nancy J Trostler | Qualified Audiologist | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 14 Masons Island Rd, 2b, Mystic, CT 06355-2958 |
| Street Address |
201 BOSTON POST RD |
| City | WATERFORD |
| State | CT |
| Zip | 06385-2805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Lord Vincent | Otolaryngology | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 201 Boston Post Rd, Waterford, CT 06385-2805 |
| Russell Otto | Physician Assistant | Ear,nose and Throat Associates of Southeastern Connecticut, P.C. | 201 Boston Post Rd, Waterford, CT 06385-2805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian C Cambi | Interventional Cardiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Anthony D Quinn | Urology | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Costin Nicolae Ionescu | Interventional Cardiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Jude F Clancy | Cardiac Electrophysiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Richard A Fraser | Urology | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Rachelle Darout | Family Medicine | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Carlos I Mena-hurtado | Interventional Cardiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| David F Crawley | Urology | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Mark Somers | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Valerie B Popkin | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Find all physicians in zip 06385 | |||
| City | WATERFORD |
| Zip Code | 06385 |
| Specialty | QUALIFIED AUDIOLOGIST |
| City + Specialty | WATERFORD + QUALIFIED AUDIOLOGIST |
Please comment or provide details below to improve the information on Bethany B 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.