John E Kelly


Address: 820 E Summit Ave, Oconomowoc, WI 53066-3975

John E Kelly (NPI# 1942262936, PAC ID# 8820985005) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1942262936
PAC ID by PECOS 8820985005
Professional Enrollment ID I20040302000972
Full Name John E Kelly
Address 820 E Summit Ave
Oconomowoc
WI 53066-3975
Gender M
Credential MD
Graduation Year 1979
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
520062 OCONOMOWOC MEMORIAL HOSPITAL
520008 WAUKESHA MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
820 E Summit Ave, Oconomowoc, WI 53066-3975

Organization Information

Office Location

Street Address 820 E SUMMIT AVE
City OCONOMOWOC
State WI
Zip 53066-3975

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Anne K Wick Nurse Practitioner Prohealth Care Medical Associates Inc 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066
David D Schlomer Internal Medicine Prohealth Care Medical Associates Inc 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066
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Bradley Steven Schuster Optometry Oconomowoc Vision Clinic, LLC 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399
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Nathan James Omick Chiropractic Michael R Traub D.c. Ltd N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185
Michael Ray Traub Chiropractic Michael R Traub D.c. Ltd N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185
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Competitor

Search similar physicians

City OCONOMOWOC
Zip Code 53066
Specialty FAMILY MEDICINE
City + Specialty OCONOMOWOC + FAMILY MEDICINE

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Dataset Information

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.

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