Andrea Kelly, DDS | |
2908 Auburn Rd, Huntington, WV 25704-2715 | |
(304) 781-5800 | |
Not Available |
Full Name | Andrea Kelly |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 2908 Auburn Rd, Huntington, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023098811 | NPI | - | NPPES |
60002029 | Medicaid | KY | |
2408513 | Medicaid | OH | |
4002196000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3487 (West Virginia) | Primary |
Entity Name | Valley Health Systems, Inc |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1902962368 PECOS PAC ID: 9931017969 Enrollment ID: O20040325000411 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720333461 PECOS PAC ID: 9931017969 Enrollment ID: O20130319000031 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1548542277 PECOS PAC ID: 9931017969 Enrollment ID: O20130415000484 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477216919 PECOS PAC ID: 9931017969 Enrollment ID: O20220602001110 |
Mailing Address | Practice Location Address |
---|---|
Andrea Kelly, DDS Po Box 1680, Huntington, WV 25717-1680 Ph: () - | Andrea Kelly, DDS 2908 Auburn Rd, Huntington, WV 25704-2715 Ph: (304) 781-5800 |
Dr. Stephen Earl Howerton, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3011 Piedmont Rd, Huntington, WV 25704 Phone: 304-429-4911 Fax: 304-429-4911 | |
Mr. Larry Keith Hildebrand, DDS MS Dentist Medicare: Medicare Enrolled Practice Location: 1242 Washington Ave, Huntington, WV 25704 Phone: 304-529-2880 Fax: 304-529-2888 | |
Kevin Porres, Dentist Medicare: Not Enrolled in Medicare Practice Location: 224 North Blvd W, Huntington, WV 25701 Phone: 304-633-4902 | |
Dr. Stanley Earl Dixon Jr., D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 211 Bevis Cir, Huntington, WV 25705 Phone: 304-733-1144 | |
Dr. James Robert Butler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 324 29th St, Huntington, WV 25702 Phone: 304-523-2790 Fax: 304-523-2780 | |
Mr. James Nighbert Aldridge Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 350 5th Ave, Huntington, WV 25701 Phone: 304-523-3666 Fax: 304-623-3762 |