Edward Lawrence Kelly Jr, LPN is a
Licensed Practical Nurse based in Glenwood, Iowa. Edward Lawrence Kelly Jr is licensed to practice in Iowa (license number P12593) and his current practice location is
711 S Vine St, Glenwood, Iowa. He can be reached at his office (for appointments etc.) via phone at
(712) 525-1344.
NPI number for Edward Lawrence Kelly Jr is 1083890503 and his current mailing address is 709 Washington Ave, Red Oak, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083890503.
Provider's Profile
| Full Name | Edward Lawrence Kelly Jr |
|---|
| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 711 S Vine St, Glenwood, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083890503
- Provider Enumeration Date: 01/15/2008
- Last Update Date: 01/15/2008
Medical Identifiers
Medical identifiers for Edward Lawrence Kelly Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083890503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | P12593 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edward Lawrence Kelly Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Edward Lawrence Kelly Jr, LPN
709 Washington Ave,
Red Oak, IA 51566-2439
Ph: (712) 623-6862 | Edward Lawrence Kelly Jr, LPN
711 S Vine St,
Glenwood, IA 51534-1927
Ph: (712) 525-1344 |
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