Kristopher J Kelly (NPI# 1316980329, PAC ID# 6608879994) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1316980329 |
| PAC ID by PECOS | 6608879994 |
| Professional Enrollment ID | I20060804000136 |
| Full Name | Kristopher J Kelly |
| Organization Legal Name | KRISTOPHER J KELLY LLC |
| Address |
5655 Monclova Rd Maumee OH 43537-1870 |
| Phone Number | 4198934883 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 0446416176 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360090 | ST LUKE'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5655 Monclova Rd, Maumee, OH 43537-1870 | 4198934883 | KRISTOPHER J KELLY LLC |
| Organization Legal Name | KRISTOPHER J KELLY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Price Schmucker | Optometry | Kristopher J Kelly LLC | 5655 Monclova Rd, Maumee, OH 43537-1870 |
| Street Address |
5655 MONCLOVA RD |
| City | MAUMEE |
| State | OH |
| Zip | 43537-1870 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Price Schmucker | Optometry | Kristopher J Kelly LLC | 5655 Monclova Rd, Maumee, OH 43537-1870 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy F Wynkoop | Psychologist, Clinical | Po Box, Suite 332, Maumee, OH 43537-0332 | |
| David E Muck | Chiropractic | Heatherdowns Chiropractic Wellness Center LLC | 2526 Perrysburg Holland Rd, Maumee, OH 43537-1344 |
| Luke Amodeo | Chiropractic | Heatherdowns Chiropractic Wellness Center LLC | 2526 Perrysburg Holland Rd, Maumee, OH 43537-1344 |
| Jane A Broering-ammons | Psychiatry | 1627 Henthorne Dr B, Maumee, OH 43537-1370 | |
| Wade L Banker | Interventional Radiology | 1500 Holland Rd, Maumee, OH 43537-1619 | |
| Hany J Jacob | Critical Care (intensivists) | 1661 Holland Rd, Suite 300, Maumee, OH 43537-1659 | |
| Rebecca M Burgoon | Physician Assistant | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Heather L Paulus | Optometry | 1657 Holland Rd, Suite D, Maumee, OH 43537-1661 | |
| Belinda A Heywood | Physician Assistant | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Erin E Hill | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Find all physicians in zip 43537 | |||
| City | MAUMEE |
| Zip Code | 43537 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MAUMEE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Kristopher J 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.