Kent Robert Kelley (NPI# 1801917422, PAC ID# 8527159276) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1801917422 |
PAC ID by PECOS | 8527159276 |
Professional Enrollment ID | I20070809000264 |
Full Name | Kent Robert Kelley |
Organization Legal Name | ABUNDANT LIVING CHIROPRACTIC, LLC |
Address |
128 E Main St Palmyra PA 17087-1734 |
Phone Number | 7178322225 |
Gender | M |
Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
Graduation Year | 1999 |
Primary Specialty | CHIROPRACTIC |
Group Practice PAC ID | 0840446506 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
128 E Main St, Palmyra, PA 17087-1734 | 7178322225 | ABUNDANT LIVING CHIROPRACTIC, LLC |
Organization Legal Name | ABUNDANT LIVING CHIROPRACTIC, LLC |
Physicians | 1 |
Street Address |
128 E MAIN ST |
City | PALMYRA |
State | PA |
Zip | 17087-1734 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tammy L Merrifield | Nurse Practitioner | Geisinger Clinic | 128 E Main St, Nanticoke, PA 18634-1604 |
Cassie Broyles | Nurse Practitioner | Trusted Health Care Inc | 128 E Main St, Bainbridge, OH 45612-1101 |
Caroline M Baran | Family Medicine | Geisinger Clinic | 128 E Main St, Nanticoke, PA 18634-1604 |
City | PALMYRA |
Zip Code | 17087 |
Specialty | CHIROPRACTIC |
City + Specialty | PALMYRA + CHIROPRACTIC |
Please comment or provide details below to improve the information on Kent Robert 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.