Luann M Kelly (NPI# 1497811707, PAC ID# 5395755326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1497811707 |
| PAC ID by PECOS | 5395755326 |
| Professional Enrollment ID | I20060504000407 |
| Full Name | Luann M Kelly |
| Organization Legal Name | FRANK P. MAGGIACOMO, D.O. INC |
| Address |
1681 Cranston St Suite D Cranston RI 02920-5000 |
| Phone Number | 4019468446 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4587609664 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410005 | OUR LADY OF FATIMA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1681 Cranston St, Suite D, Cranston, RI 02920-5000 | 4019468446 | FRANK P. MAGGIACOMO, D.O. INC |
| Organization Legal Name | FRANK P. MAGGIACOMO, D.O. INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Maggiacomo | Internal Medicine | Frank P. Maggiacomo, D.o. Inc | 1681 Cranston St, Suite D, Cranston, RI 02920-5000 |
| Street Address |
1681 CRANSTON ST SUITE D |
| City | CRANSTON |
| State | RI |
| Zip | 02920-5000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Jennings | Nurse Practitioner | Prospect Chartercare Physicians LLC | 1681 Cranston St, Cranston, RI 02920-5000 |
| Gregory G Allen Jr. | Internal Medicine | Prospect Chartercare Physicians LLC | 1681 Cranston St, Cranston, RI 02920-5000 |
| Dieter Pohl | General Surgery | Prospect Chartercare Physicians LLC | 1681 Cranston St, Cranston, RI 02920-5000 |
| Usha Panneerselvam | Internal Medicine | Prospect Chartercare Physicians LLC | 1681 Cranston St, Cranston, RI 02920-5000 |
| Kerri L Lanni | Physician Assistant | Prospect Chartercare Physicians LLC | 1681 Cranston St, Cranston, RI 02920-5000 |
| Rabih El Bizri | Pulmonary Disease | Prospect Chartercare Physicians LLC | 1681 Cranston St, Cranston, RI 02920-5000 |
| Kenneth C Botelho | Physician Assistant | Prospect Chartercare Physicians LLC | 1681 Cranston St, Cranston, RI 02920-5000 |
| Holli J Brousseau | Nurse Practitioner | Prospect Chartercare Physicians LLC | 1681 Cranston St, Cranston, RI 02920-5000 |
| Gary G King | Family Medicine | Prospect Chartercare Physicians LLC | 1681 Cranston St, Cranston, RI 02920-5000 |
| Richa Tandon | Infectious Disease | Prospect Chartercare Physicians LLC | 1681 Cranston St, Cranston, RI 02920-5000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Salisbury | Physician Assistant | Coastal Medical Inc | 75 Sockanosset Xrd, Suite 100, Cranston, RI 02920 |
| Susan Parker | Physical Therapy | Excel Physical Therapy Inc | 51 Sockanosset Xrd, Cranston, RI 02920 |
| G. Miles Mullervy | Clinical Social Worker | 75 Sockanosset Xrds, Suite 206, Cranston, RI 02920 | |
| Mario Santomassimo | Physical Therapy | Excel Physical Therapy Inc | 51 Sockanosset Xrd, Cranston, RI 02920 |
| Edward Mccormick | Physical Therapy | Excel Physical Therapy Inc | 51 Sockanosset Xrd, Cranston, RI 02920 |
| Karen H Stevenson | Internal Medicine | Coastal Medical Inc | 75 Sockanosset Xrd, Suite 100, Cranston, RI 02920 |
| Kathryn O Coolidge | Internal Medicine | Coastal Medical Inc | 75 Sockanosset Xrd, Suite 100, Cranston, RI 02920 |
| Yul D Ejnes | Internal Medicine | Coastal Medical Inc | 75 Sockanosset Xrd, Suite 100, Cranston, RI 02920 |
| Kimberly A Propert | Nurse Practitioner | Coastal Medical Inc | 75 Sockanosset Xrd, Suite 100, Cranston, RI 02920 |
| Patrick George Lachut | Physical Therapy | Excel Physical Therapy Inc | 51 Sockanosset Xrd, Cranston, RI 02920 |
| Find all physicians in zip 02920 | |||
| City | CRANSTON |
| Zip Code | 02920 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CRANSTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Luann M 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.