Candace P Kelly, | |
1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 | |
(276) 242-2001 | |
(276) 312-8337 |
Full Name | Candace P Kelly |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1520 Slate Creek Rd Ste 201, Grundy, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700593076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024185682 (Virginia) | Primary |
Entity Name | Ohio Valley Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962433177 PECOS PAC ID: 8729032966 Enrollment ID: O20200124001561 |
Mailing Address | Practice Location Address |
---|---|
Candace P Kelly, Po Box 390, Huntington, WV 25708-0390 Ph: (304) 429-1088 | Candace P Kelly, 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 Ph: (276) 242-2001 |
Mrs. Maggie Campbell Gilbert, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1535 Slate Creek Rd, Grundy, VA 24614 Phone: 276-935-1000 | |
Angela Horn, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 2513, Grundy, VA 24614 Phone: 276-971-9283 | |
Jenny Cole, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Slate Creek Rd, Grundy, VA 24614 Phone: 276-242-2001 | |
Tammy Hurley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2484 Convict Hollow Rd, Grundy, VA 24614 Phone: 276-312-3980 | |
Freda Y Powers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1532 Slate Creek Rd, Ste 106, Grundy, VA 24614 Phone: 276-935-1760 Fax: 276-935-1762 | |
Mrs. Laura Catherine Potter, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19847 Riverside Dr, Grundy, VA 24614 Phone: 276-248-0800 Fax: 276-248-0814 | |
Haley Reed Hurley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1520 Slate Creek Rd, Grundy, VA 24614 Phone: 276-935-1000 |