Daniel Kelty (NPI# 1841693777, PAC ID# 5890014195) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1841693777 |
| PAC ID by PECOS | 5890014195 |
| Professional Enrollment ID | I20150508000942 |
| Full Name | Daniel Kelty |
| Address |
8935 Hoop Pole Rd Roseville OH 43777-9789 |
| Phone Number | 7403191666 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8935 Hoop Pole Rd, Roseville, OH 43777-9789 | 7403191666 |
| Street Address |
8935 HOOP POLE RD |
| City | ROSEVILLE |
| State | OH |
| Zip | 43777-9789 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Bobb Jr. | Family Medicine | Genesis Primary Care Physicians, LLC | 167 S Main St, Roseville, OH 43777-1284 |
| City | ROSEVILLE |
| Zip Code | 43777 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ROSEVILLE + CLINICAL SOCIAL WORKER |
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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.