Michael T Kelly (NPI# 1063449130, PAC ID# 8820993256) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1063449130 |
| PAC ID by PECOS | 8820993256 |
| Professional Enrollment ID | I20031126000695 |
| Full Name | Michael T Kelly |
| Address |
1900 Electric Rd Salem VA 24153-7474 |
| Phone Number | 5407764000 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1985 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490048 | LEWISGALE MEDICAL CENTER |
| 490024 | CARILION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1900 Electric Rd, Salem, VA 24153-7474 | 5407764000 |
| Street Address |
1900 ELECTRIC RD |
| City | SALEM |
| State | VA |
| Zip | 24153-7474 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Champ | Emergency Medicine | Lake Spring Emergency Group LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Randall L Woodford | Pathology | Associated Pathologists LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Elizabeth R Marshall | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 1900 Electric Rd, Salem, VA 24153-7494 |
| Stephen O Slattery | Anesthesiology | Valley Anesthesia PC | 1900 Electric Rd, Salem, VA 24153-7494 |
| Maria D Johnson | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 1900 Electric Rd, Salem, VA 24153-7494 |
| Adam G Guyer | Diagnostic Radiology | Radiology Associates of Roanoke, P. C. | 1900 Electric Rd, Salem, VA 24153-7474 |
| Jennifer L Haney | Internal Medicine | Lake Spring Physician Services, LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Benjamin Todd Freasier | Internal Medicine | Lake Spring Physician Services, LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Harry K Daugherty Jr. | Pathology | Associated Pathologists LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Beth A Hite | Nurse Practitioner | Lake Spring Physician Services, LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deana A Young | Family Medicine | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Amy Foutz | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Taylor Noelle Griffith | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Lauren R Sylvain | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Ijeoma N Okogbue | Cardiovascular Disease (cardiology) | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Puja R Ganjwala | Nurse Practitioner | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Jon Thomas Royall | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Laura Rapp | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Christian A Brickner | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Nicole D Kemp | Nurse Practitioner | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Find all physicians in zip 24153 | |||
| City | SALEM |
| Zip Code | 24153 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | SALEM + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Michael T 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.