John B Kelly Jr, DO | |
1220 Lee St E Ste 201, Charleston, WV 25301-1864 | |
(304) 342-8513 | |
(304) 342-8147 |
Full Name | John B Kelly Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1220 Lee St E Ste 201, Charleston, 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 |
---|---|---|---|
1982618690 | NPI | - | NPPES |
0056727000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 774 (West Virginia) | Primary |
Entity Name | Charleston Family Practice Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750310280 PECOS PAC ID: 5597737635 Enrollment ID: O20040810000592 |
Mailing Address | Practice Location Address |
---|---|
John B Kelly Jr, DO 1220 Lee St E Ste 201, Charleston, WV 25301-1864 Ph: (304) 342-8513 | John B Kelly Jr, DO 1220 Lee St E Ste 201, Charleston, WV 25301-1864 Ph: (304) 342-8513 |
Tamra Aman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304 Phone: 304-720-7305 Fax: 304-720-7310 | |
Dr. Jeffrey V Ashley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Fifth Floor, Charleston, WV 25304 Phone: 304-388-4600 Fax: 304-388-4637 | |
Hoda Kasem, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Avenue Se,, Hospitalist Program, Charleston, WV 25301 Phone: 304-347-4620 | |
E Michael Robie, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-4600 Fax: 304-388-4603 | |
Amanda Whaley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Hunters Point Rd, Charleston, WV 25314 Phone: 304-720-3555 | |
Dr. Emily A.p. Montgomery, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3110 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-347-1300 Fax: 304-347-1397 | |
Dr. Gregory Jarrell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 Washington St E, Suite 108, Charleston, WV 25301 Phone: 304-347-4600 Fax: 304-347-4621 |