Brennon H Kelly (NPI# 1023511680, PAC ID# 6204178759) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1023511680 |
| PAC ID by PECOS | 6204178759 |
| Professional Enrollment ID | I20190502000800 |
| Full Name | Brennon H Kelly |
| Address |
805 B Albertson Pkwy Suite B Broussard LA 70518-5096 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 2017 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 805 B Albertson Pkwy, Suite B, Broussard, LA 70518-5096 |
| Street Address |
805 B ALBERTSON PKWY SUITE B |
| City | BROUSSARD |
| State | LA |
| Zip | 70518-5096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kris Frankenberg | Chiropractic | Virgil Bryant Management | 4027 Hwy 90 E, Broussard, LA 70518-3509 |
| Michael W Fontenot Jr. | Chiropractic | Virgil Bryant Management | 4027 Hwy 90 E, Broussard, LA 70518-3509 |
| Kevin J Lenderman | Chiropractic | Virgil Bryant Management | 4027 Hwy 90 E, Broussard, LA 70518-3509 |
| Dee Dee C. Luke | Family Medicine | 803 Albertson Pkwy, Broussard, LA 70518-4349 | |
| Jeremy B Sanders | Nurse Practitioner | 805 Albertson Pkwy, Suite A, Broussard, LA 70518-4350 | |
| William Stephen Darr | Oral Surgery | 107 S Morgan Ave, Broussard, LA 70518-4540 | |
| Aimee Chantelle Broussard | Nurse Practitioner | 803 S Morgan Ave, Broussard, LA 70518-4921 | |
| Edgar Pumarol Castillo | Internal Medicine | 420 Albertson Pkwy, Broussard, LA 70518-4968 | |
| Rene Leblanc | Physical Therapy | Acadian Comprehensive Therapy | 484 Albertson Pkwy, Suite A, Broussard, LA 70518-4968 |
| Samir Salama | Psychiatry | 418 Albertson Pkwy, Broussard, LA 70518-4971 | |
| Find all physicians in zip 70518 | |||
| City | BROUSSARD |
| Zip Code | 70518 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BROUSSARD + CHIROPRACTIC |
Please comment or provide details below to improve the information on Brennon H 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.