Kaitlyn Ann Kelly (NPI# 1780143297, PAC ID# 1759616311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1780143297 |
| PAC ID by PECOS | 1759616311 |
| Professional Enrollment ID | I20190718001740 |
| Full Name | Kaitlyn Ann Kelly |
| Organization Legal Name | JOE I HALL MD PC |
| Address |
107 Jv Mangubat Dr Waynesboro TN 38485-2440 |
| Phone Number | 9317222800 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153223730 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440010 | WAYNE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 9317222800 | JOE I HALL MD PC |
| Organization Legal Name | JOE I HALL MD PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary J Ray | Nurse Practitioner | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Patricia Diane Castleman | Nurse Practitioner | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Joe I Hall | Emergency Medicine | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Valerie A Hall | Nurse Practitioner | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Donna J Casteel | Nurse Practitioner | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Street Address |
107 JV MANGUBAT DR |
| City | WAYNESBORO |
| State | TN |
| Zip | 38485-2440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary J Ray | Nurse Practitioner | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Patricia Diane Castleman | Nurse Practitioner | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Joe I Hall | Emergency Medicine | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Valerie A Hall | Nurse Practitioner | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Donna J Casteel | Nurse Practitioner | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mona Olive | Nurse Practitioner | Ecm Health Group LLC | 206 Clifton Turnpike, Waynesboro, TN 38485-2301 |
| Donald H Polk | Family Medicine | 206 Clifton Tpke, Waynesboro, TN 38485-2301 | |
| Matthew R Endara | Plastic and Reconstructive Surgery | Maury Regional Medical Group Inc | 103 Jv Mangubat Dr, Fl 3, Waynesboro, TN 38485-2440 |
| Paula A Cole | Nurse Practitioner | Maury Regional Hospital | 101 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Raymond Howard | Family Medicine | Southeastern Emergency Physicians LLC | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Harish Veeramachineni | Family Medicine | Maury Regional Hospital | 101 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Alisha M Williams | Nurse Practitioner | Maury Regional Medical Group Inc | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Hubert Langley | Diagnostic Radiology | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | |
| John O Simmons | Internal Medicine | Maury Regional Medical Group Inc | 101 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Kaitlin R Tucker | Physician Assistant | Maury Regional Medical Group Inc | 103 Jv Mangubat Dr, Fl 3, Waynesboro, TN 38485-2440 |
| Find all physicians in zip 38485 | |||
| City | WAYNESBORO |
| Zip Code | 38485 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WAYNESBORO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kaitlyn Ann 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.