Kevin J Kelly (NPI# 1760597421, PAC ID# 7517245616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1760597421 |
| PAC ID by PECOS | 7517245616 |
| Professional Enrollment ID | I20161025000266 |
| Full Name | Kevin J Kelly |
| Address |
2800 Cornerstone Dr Suite 110 Pagosa Springs CO 81147-8156 |
| Phone Number | 5056990824 |
| Gender | M |
| Graduation Year | 1976 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061328 | UPPER SAN JUAN HEALTH SERVICE DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 2800 Cornerstone Dr, Suite 110, Pagosa Springs, CO 81147-8156 | 5056990824 |
| Street Address |
2800 CORNERSTONE DR SUITE 110 |
| City | PAGOSA SPRINGS |
| State | CO |
| Zip | 81147-8156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Sires | Optometry | Abba Eye Care PC | 2800 Cornerstone Dr, Suite A6, Pagosa Springs, CO 81147-8157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher P Mills | Family Practice | Christopher P Mills Do LLC | 191 Talisman Dr, Suite 102, Pagosa Springs, CO 81147-0030 |
| Richard S Anderson | Chiropractic | 302 Pagosa St, Pagosa Chiropractic, Pagosa Springs, CO 81147-0967 | |
| Deborah K Parker | Psychologist, Clinical | 2800 Corner Stone Dr, Suite 110, Pagosa Springs, CO 81147-4046 | |
| Kaitlin D Wert | Nurse Practitioner | The Pagosa Medical Group LLC | 27 B Talisman Dr, Unit 3, Pagosa Springs, CO 81147-7914 |
| Carole A Nasralla | Family Medicine | The Pagosa Medical Group LLC | 27 B Talisman Dr, Unit 3, Pagosa Springs, CO 81147-7914 |
| Amber C Reiss-holt | Emergency Medicine | The Pagosa Medical Group LLC | 27 B Talisman Dr, Unit 3, Pagosa Springs, CO 81147-7914 |
| David S Shaeffer | General Surgery | The Pagosa Medical Group LLC | 27 B Talisman Dr, Unit 3, Pagosa Springs, CO 81147-7914 |
| William Thornell | Oral Surgery | 189 Talisman Dr, Suite E, Pagosa Spgs, CO 81147-7917 | |
| Erin L Frankel Jeansonne | Chiropractic | 2800 Cornerstone, Suite 1, Pagosa Springs, CO 81147-8156 | |
| Benjamin G Ropp | Pathology | Upper San Juan Health Service District | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 |
| Find all physicians in zip 81147 | |||
| City | PAGOSA SPRINGS |
| Zip Code | 81147 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | PAGOSA SPRINGS + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Kevin J 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.