Shelly A Kelly (NPI# 1508168238, PAC ID# 9234302373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1508168238 |
| PAC ID by PECOS | 9234302373 |
| Professional Enrollment ID | I20111104000373 |
| Full Name | Shelly A Kelly |
| Organization Legal Name | B3W LLC |
| Address |
115 N Mustang Rd Mustang OK 73064-3912 |
| Phone Number | 4052565595 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921279076 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 115 N Mustang Rd, Mustang, OK 73064-3912 | 4052565595 | B3W LLC |
| Organization Legal Name | B3W LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Donald Mcginn Iii | Nurse Practitioner | B3w LLC | 115 N Mustang Rd, Mustang, OK 73064-3912 |
| Bradley D Pittman | Physician Assistant | B3w LLC | 115 N Mustang Rd, Mustang, OK 73064-3912 |
| Rohit Mathew | Physician Assistant | B3w LLC | 115 N Mustang Rd, Mustang, OK 73064-3912 |
| Street Address |
115 N MUSTANG RD |
| City | MUSTANG |
| State | OK |
| Zip | 73064-3912 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Donald Mcginn Iii | Nurse Practitioner | B3w LLC | 115 N Mustang Rd, Mustang, OK 73064-3912 |
| Bradley D Pittman | Physician Assistant | B3w LLC | 115 N Mustang Rd, Mustang, OK 73064-3912 |
| Rohit Mathew | Physician Assistant | B3w LLC | 115 N Mustang Rd, Mustang, OK 73064-3912 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keri Waggoner | Qualified Speech Language Pathologist | Accucaretx Inc | 1017 W State Hwy 152, Willowood At Mustang, Mustang, OK 73064-2310 |
| Michelle Oakes | Occupational Therapy | Accucaretx Inc | 1017 W State Hwy 152, Willowood At Mustang, Mustang, OK 73064-2310 |
| Jeff Kimmel | Occupational Therapy | Accucaretx Inc | 1017 W State Hwy 152, Willowood At Mustang, Mustang, OK 73064-2310 |
| Crystopher J Long | Physical Therapy | Accucaretx Inc | 1017 W State Hwy 152, Willowood At Mustang, Mustang, OK 73064-2310 |
| Travis L Calton | Physical Therapy | Valir Outpatient Clinics LLC | 153 E State Hwy 152, Mustang, OK 73064-4406 |
| Jeanette Q Ngo | Physical Therapy | Valir Outpatient Clinics LLC | 153 E State Hwy 152, Mustang, OK 73064-4406 |
| Sidney C Vaught | Chiropractic | 731 E Hwy 152, Mustang, OK 73064-4520 | |
| Eric Michael Crane | Chiropractic | 251 S Castlerock Ln, Mustang, OK 73064-4583 | |
| Marcia L Warren | Optometry | 100 S Castlerock Ln, Mustang, OK 73064-4586 | |
| Cody R Payne | Physical Therapy | 1337 E State Hwy 152, Suite 111, Mustang, OK 73064-5108 | |
| Find all physicians in zip 73064 | |||
| City | MUSTANG |
| Zip Code | 73064 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MUSTANG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shelly A 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.