Kelsey Real Kennedy, | |
252 Inverness Center Dr, Birmingham, AL 35242-4834 | |
(205) 997-2966 | |
(205) 379-6842 |
Full Name | Kelsey Real Kennedy |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 6 Years |
Location | 252 Inverness Center Dr, Birmingham, Alabama |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194222844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | MD.43941 (Alabama) | Secondary |
207N00000X | Dermatology | MD.43941 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssd, Llc | 2163821448 | 4 |
Entity Name | Ssd, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134700131 PECOS PAC ID: 2163821448 Enrollment ID: O20210519001875 |
Mailing Address | Practice Location Address |
---|---|
Kelsey Real Kennedy, 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Kelsey Real Kennedy, 252 Inverness Center Dr, Birmingham, AL 35242-4834 Ph: (205) 997-2966 |
Callie Roberts Hill, Dermatology Medicare: Medicare Enrolled Practice Location: 1927 1st Ave N, Birmingham, AL 35203 Phone: 205-933-0987 Fax: 205-930-1750 | |
Carly Elston, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 500 22nd St S, Birmingham, AL 35233 Phone: 205-934-9999 | |
Tiffany Mayo, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Daniel Bergman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-4011 Fax: 205-297-9411 | |
Carlton Phillips, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2100 16th Ave S, Birmingham, AL 35205 Phone: 205-933-0987 Fax: 205-930-1758 | |
Katherine Flanagan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 813 Shades Creek Pkwy, Suite 205, Birmingham, AL 35209 Phone: 205-578-1799 Fax: 205-578-3158 | |
Vijay Balakrishnan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 510 20th St S Ste 858, Birmingham, AL 35233 Phone: 205-934-5188 |