Kelly L Matherly (NPI# 1164822987, PAC ID# 7618298126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164822987 |
| PAC ID by PECOS | 7618298126 |
| Professional Enrollment ID | I20150609003030 |
| Full Name | Kelly L Matherly |
| Organization Legal Name | ANCHOR MEDICAL LLC |
| Address |
1196 Airport Rd Beaver WV 25813-9421 |
| Phone Number | 3042535155 |
| Gender | F |
| Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2062635691 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1196 Airport Rd, Beaver, WV 25813-9421 | 3042535155 | ANCHOR MEDICAL LLC |
| Organization Legal Name | ANCHOR MEDICAL LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa L Tate | Nurse Practitioner | Anchor Medical LLC | 1196 Airport Rd, Beaver, WV 25813-9421 |
| Street Address |
1196 AIRPORT RD |
| City | BEAVER |
| State | WV |
| Zip | 25813-9421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa L Tate | Nurse Practitioner | Anchor Medical LLC | 1196 Airport Rd, Beaver, WV 25813-9421 |
| Mary E Mckelvey | Internal Medicine | Wvva Health Care Alliance PC | 1196 Airport Rd, Beaver, WV 25813-9421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max R Mabry | Qualified Audiologist | Raleigh Hearing Center Inc | 673 Ritter Dr, Glen Morgan, WV 25813-7707 |
| Prudencio Corro | Otolaryngology | 673 Ritter Dr, Glen Morgan, WV 25813-7707 | |
| Randy W Walker | Qualified Audiologist | Raleigh Hearing Center Inc | 673 Ritter Dr, Glen Morgan, WV 25813-7707 |
| Angela D Presley | Nurse Practitioner | Appalachian Regional Healthcare Inc. | 703 Ritter Dr, Glen Morgan, WV 25813-7709 |
| Bella Nayan Zinzuwadia | Internal Medicine | Appalachian Regional Healthcare Inc. | 703 Ritter Dr, Glen Morgan, WV 25813-7709 |
| Mousa Ibrahim Dababnah | Family Medicine | 856 S Ritter Dr, Beaver, WV 25813-9513 | |
| Marcus Knight Thomas | Chiropractic | 385 Airport Rd, Beaver, WV 25813-9596 |
| City | BEAVER |
| Zip Code | 25813 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BEAVER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly L Matherly.
| 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.