Emmalena Kelly, PA is a
Student In An Organized Health Care Education/training Program based in Fort Hood, Texas. Emmalena Kelly is licensed to practice in Texas (license number ) and her current practice location is
36065 Santa Fe Ave, Fort Hood, Texas. She can be reached at her office (for appointments etc.) via phone at
(402) 801-0534.
NPI number for Emmalena Kelly is 1053864884 and her current mailing address is 36065 Santa Fe Ave, Fort Hood, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053864884.
Provider's Profile
Full Name | Emmalena Kelly |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 36065 Santa Fe Ave, Fort Hood, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053864884
- Provider Enumeration Date: 07/28/2016
- Last Update Date: 03/31/2023
Medical Identifiers
Medical identifiers for Emmalena Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053864884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2045 (Nebraska) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Texas) | 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. Emmalena Kelly 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 |
Emmalena Kelly, PA 36065 Santa Fe Ave, Fort Hood, TX 76544-5095 Ph: (254) 553-9089 | Emmalena Kelly, PA 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 Ph: (402) 801-0534 |
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