Kevin E Kelly
PROGRESS FOUNDATION


Address: 52 Dore St Unit, San Francisco, CA 94103-3825
Phone: 4155533115

Kevin E Kelly (NPI# 1235464447, PAC ID# 2860632643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1235464447
PAC ID by PECOS 2860632643
Professional Enrollment ID I20130628000557
Full Name Kevin E Kelly
Organization Legal Name PROGRESS FOUNDATION
Address 52 Dore St Unit
San Francisco
CA 94103-3825
Phone Number 4155533115
Gender M
Graduation Year 2009
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 2264698588
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
52 Dore St Unit, San Francisco, CA 94103-3825 4155533115 PROGRESS FOUNDATION
52 Dore St Unit, Suite 1, San Francisco, CA 94103-3825 4155533115 PROGRESS FOUNDATION

Organization Information

Organization Legal Name PROGRESS FOUNDATION
Physicians 1

Office Location

Street Address 52 DORE ST UNIT
City SAN FRANCISCO
State CA
Zip 94103-3825

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Competitor

Search similar physicians

City SAN FRANCISCO
Zip Code 94103
Specialty NURSE PRACTITIONER
City + Specialty SAN FRANCISCO + NURSE PRACTITIONER

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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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