| David R. Kelly, M.d., P.s.c. | |
|
1780 Nicholasville Rd Suite 201 Lexington KY 40503-1400 | |
| (859) 278-8499 | |
| (859) 278-8683 |
| Full Name | David R. Kelly, M.d., P.s.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1780 Nicholasville Rd, Lexington, Kentucky |
| Authorized Official Name and Position | David Robert Kelly (PRESIDENT) |
| Authorized Official Contact | 8592788499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David R. Kelly, M.d., P.s.c. 1780 Nicholasville Rd Suite 201 Lexington KY 40503-1400 Ph: (859) 278-8499 | David R. Kelly, M.d., P.s.c. 1780 Nicholasville Rd Suite 201 Lexington KY 40503-1400 Ph: (859) 278-8499 |
| NPI Number | 1457402786 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 12/07/2009 |
| Medicare PECOS PAC ID | 3476578212 |
|---|---|
| Medicare Enrollment ID | O20051011000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457402786 | NPI | - | NPPES |
| 65944159 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 27570 (Kentucky) | Primary |
| Provider Name | David R Kelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245278043 PECOS PAC ID: 5092730838 Enrollment ID: I20051012000032 |
Alexander J. Tikhtman, M.d., P.s.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 Nicholasville Rd, Suite 403, Lexington, KY 40503 Phone: 859-276-6168 Fax: 859-276-0850 | |
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