Thomas Leo Kelley, is a
Marriage & Family Therapist based in Cross Plains, Wisconsin. Thomas Leo Kelley is licensed to practice in Wisconsin (license number 268-228) and his current practice location is
2947 Thinnes St, Cross Plains, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 576-6151.
NPI number for Thomas Leo Kelley is 1790037794 and his current mailing address is 2947 Thinnes St, Cross Plains, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790037794.
Healthcare Provider's Profile
Full Name | Thomas Leo Kelley |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 2947 Thinnes St, Cross Plains, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790037794
- Provider Enumeration Date: 10/15/2012
- Last Update Date: 10/15/2012
Medical Identifiers
Medical identifiers for Thomas Leo Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790037794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 268-228 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas Leo Kelley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Thomas Leo Kelley, 2947 Thinnes St, Cross Plains, WI 53528-9540 Ph: () - | Thomas Leo Kelley, 2947 Thinnes St, Cross Plains, WI 53528-9540 Ph: (608) 576-6151 |
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