Kelly J Seals (NPI# 1083079776, PAC ID# 6901100148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083079776 |
| PAC ID by PECOS | 6901100148 |
| Professional Enrollment ID | I20160208001866 |
| Full Name | Kelly J Seals |
| Organization Legal Name | HEALTH CARE COALITION OF LAFAYETTE COUNTY |
| Address |
324 S Hudson St Living Well Community Health Center Buckner MO 64016-8142 |
| Phone Number | 6602592440 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800034679 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261332 | CARROLL COUNTY MEMORIAL HOSPITAL |
| 261320 | LAFAYETTE REGIONAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 324 S Hudson St, Living Well Community Health Center, Buckner, MO 64016-8142 | 6602592440 | HEALTH CARE COALITION OF LAFAYETTE COUNTY |
| 324 S Hudson St, Buckner, MO 64016-8142 | 6602592440 | HEALTH CARE COALITION OF LAFAYETTE COUNTY |
| 1413 N Jefferson St, Live Well Community Health Center, Carrollton, MO 64633-1945 | 6602592440 | HEALTH CARE COALITION OF LAFAYETTE COUNTY |
| 1413 N Jefferson St, Carrollton, MO 64633-1945 | 6602592440 | HEALTH CARE COALITION OF LAFAYETTE COUNTY |
| Organization Legal Name | HEALTH CARE COALITION OF LAFAYETTE COUNTY |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl Grant | General Practice | Health Care Coalition of Lafayette County | 206 N Bismark A, Live Well Health Center Concordia, Concordia, MO 64020-8101 |
| Gene A Mcfadden | General Practice | Health Care Coalition of Lafayette County | 608 Missouri St, Waverly, MO 64096-8241 |
| Street Address |
324 S HUDSON ST LIVING WELL COMMUNITY HEALTH CENTER |
| City | BUCKNER |
| State | MO |
| Zip | 64016-8142 |
| City | BUCKNER |
| Zip Code | 64016 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BUCKNER + NURSE PRACTITIONER |
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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.