John J Kelly, MD | |
2296 Us 70 Hwy, Swannanoa, NC 28778-8209 | |
(828) 686-5232 | |
(828) 686-7269 |
Full Name | John J Kelly |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2296 Us 70 Hwy, Swannanoa, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063631745 | NPI | - | NPPES |
48212 | Other | NC | BCBS PROVIDER NUMBER |
0170087 | Other | NC | UNITED HEALTH CARE |
8948212 | Medicaid | NC | |
152692 | Other | NC | MID SOUTH |
210331 | Other | NC | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 24779 (North Carolina) | Primary |
Entity Name | Kelly Family Medicine Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922771799 PECOS PAC ID: 3072966324 Enrollment ID: O20240202000695 |
Mailing Address | Practice Location Address |
---|---|
John J Kelly, MD 2296 Us 70 Hwy, Swannanoa, NC 28778-8209 Ph: (828) 686-5232 | John J Kelly, MD 2296 Us 70 Hwy, Swannanoa, NC 28778-8209 Ph: (828) 686-5232 |
Allie Gaskin, FNP, MSN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 Long Branch Rd, Swannanoa, NC 28778 Phone: 828-989-4081 | |
Benjamin Abernathy Aiken, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2313 Us Highway 70, Swannanoa, NC 28778 Phone: 828-407-2400 Fax: 828-407-2870 |