Marshall Kelley, MD | |
346 Maine St, Lawrence, KS 66044-1359 | |
(785) 842-4477 | |
(785) 842-7433 |
Full Name | Marshall Kelley |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 346 Maine St, Lawrence, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164429114 | NPI | - | NPPES |
100149670A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0422669 (Kansas) | Primary |
Entity Name | Heartland Medical Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669657029 PECOS PAC ID: 2769477645 Enrollment ID: O20040419001521 |
Mailing Address | Practice Location Address |
---|---|
Marshall Kelley, MD 346 Maine St, Lawrence, KS 66044-1359 Ph: (785) 842-4477 | Marshall Kelley, MD 346 Maine St, Lawrence, KS 66044-1359 Ph: (785) 842-4477 |
Rachel S Smith, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2415 Massachusetts St, Lawrence, KS 66046 Phone: 785-843-3750 Fax: 785-832-4887 | |
Beth Rundquist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 346 Maine St, Lawrence, KS 66044 Phone: 785-842-4477 Fax: 785-842-7433 | |
Marcus L Scarbrough, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1112 W 6th St Ste 214a, Lawrence, KS 66044 Phone: 785-505-5635 Fax: 785-505-5306 | |
Dr. Krista Renee Whitney, Pediatrics Medicare: Medicare Enrolled Practice Location: 1803 W 6th St, Lawrence, KS 66044 Phone: 785-841-7297 Fax: 785-856-0375 | |
Terrance P Riordan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 346 Maine St, Lawrence, KS 66044 Phone: 785-842-4477 Fax: 785-842-7433 | |
Jessica Rae Johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2415 Massachusetts St, Lawrence, KS 66046 Phone: 785-832-4836 Fax: 785-832-4887 |