Diane L Kelley (NPI# 1003998873, PAC ID# 5991884553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003998873 |
| PAC ID by PECOS | 5991884553 |
| Professional Enrollment ID | I20080507000366 |
| Full Name | Diane L Kelley |
| Organization Legal Name | EXPRESS MED OF ALABAMA LLC |
| Address |
970 Cox Creek Pkwy Florence AL 35633-1631 |
| Phone Number | 2567601655 |
| Gender | F |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496041378 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010019 | HELEN KELLER HOSPITAL |
| 010006 | ELIZA COFFEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 970 Cox Creek Pkwy, Florence, AL 35633-1631 | 2567601655 | EXPRESS MED OF ALABAMA LLC |
| 726 N Locust Ave, 1st Floor Suite D, Lawrenceburg, TN 38464-2865 | 9317667056 | EXPRESS MED OF TENNESSEE LLC |
| Organization Legal Name | EXPRESS MED OF ALABAMA LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita Westfall | Nurse Practitioner | Express Med of Alabama LLC | 970 Cox Creek Pkwy, Florence, AL 35633-1631 |
| Julie A Archer | Nurse Practitioner | Express Med of Alabama LLC | 970 Cox Creek Pkwy, Florence, AL 35633-1631 |
| Janice Leigh Pearson | Nurse Practitioner | Express Med of Alabama LLC | 970 Cox Creek Pkwy, Florence, AL 35633-1631 |
| Charles M Mcgahey | Internal Medicine | Express Med of Alabama LLC | 970 Cox Creek Pkwy, Florence, AL 35633-1631 |
| Donna Butler | Nurse Practitioner | Express Med of Alabama LLC | 970 Cox Creek Pkwy, Florence, AL 35633-1631 |
| Ernest L Mollohan | Emergency Medicine | Express Med of Alabama LLC | 970 Cox Creek Pkwy, Florence, AL 35633-1631 |
| Street Address |
970 COX CREEK PKWY |
| City | FLORENCE |
| State | AL |
| Zip | 35633-1631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita Westfall | Nurse Practitioner | Express Med of Alabama LLC | 970 Cox Creek Pkwy, Florence, AL 35633-1631 |
| Julie A Archer | Nurse Practitioner | Express Med of Alabama LLC | 970 Cox Creek Pkwy, Florence, AL 35633-1631 |
| Janice Leigh Pearson | Nurse Practitioner | Express Med of Alabama LLC | 970 Cox Creek Pkwy, Florence, AL 35633-1631 |
| Charles M Mcgahey | Internal Medicine | Express Med of Alabama LLC | 970 Cox Creek Pkwy, Florence, AL 35633-1631 |
| Donna Butler | Nurse Practitioner | Express Med of Alabama LLC | 970 Cox Creek Pkwy, Florence, AL 35633-1631 |
| Ernest L Mollohan | Emergency Medicine | Express Med of Alabama LLC | 970 Cox Creek Pkwy, Florence, AL 35633-1631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bailey R Carroll | Chiropractic | 100 Pine Brook Dr, Florence, AL 35633-1137 | |
| Jeffrey L Mclaughlin | Optometry | 2701 Cloverdale Rd, Florence, AL 35633-1402 | |
| Susan Denise Miller | Nurse Practitioner | 2929 Cloverdale Rd, Unit D, Florence, AL 35633-1505 | |
| Kristy L Miles | Nurse Practitioner | Central Family Clinic, Inc | 11348 Hwy 20, Florence, AL 35633-2702 |
| Robert J Barnowsky | Nurse Practitioner | Central Family Clinic, Inc | 11348 Hwy 20, Florence, AL 35633-2702 |
| James M Orender | Internal Medicine | Central Family Clinic, Inc | 11348 Hwy 20, Florence, AL 35633-2702 |
| Ferrin E Bayles | Nurse Practitioner | Central Family Clinic, Inc | 11348 Hwy 20, Florence, AL 35633-2702 |
| City | FLORENCE |
| Zip Code | 35633 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FLORENCE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Diane L Kelley.
| 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.