Dr Gregory Dennis Kelly, DO | |
1400 Hospital Dr, Emergency Department, Hurricane, WV 25526-9202 | |
(304) 757-1767 | |
(304) 757-1716 |
Full Name | Dr Gregory Dennis Kelly |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1400 Hospital Dr, Hurricane, 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 |
---|---|---|---|
1609945443 | NPI | - | NPPES |
000681385 | Other | WV | BLUE CROSS BLUE SHIELD |
1052927 | Other | WV | WV DWC |
0050063000 | Other | WV | WV MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 744 (West Virginia) | Primary |
Entity Name | Charleston Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory Dennis Kelly, DO 1400 Hospital Dr, Hurricane, WV 25526-9202 Ph: (800) 875-0136 | Dr Gregory Dennis Kelly, DO 1400 Hospital Dr, Emergency Department, Hurricane, WV 25526-9202 Ph: (304) 757-1767 |
Keitina Donahue-lunsford, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 Hospital Dr, Hurricane, WV 25526 Phone: 304-757-1700 | |
Daniel Trent, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 Hospital Dr, Hurricane, WV 25526 Phone: 304-757-1700 | |
Dr. Hossam Saleh Tarakji, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Hospital Dr, Hurricane, WV 25526 Phone: 304-757-1700 |