Kelly Minor, CNM is a
Advanced Practice Midwife based in Twentynine Palms, California. Kelly Minor is licensed to practice in Maryland (license number R184255) and her current practice location is
5429 Encelia Dr, Twentynine Palms, California. She can be reached at her office (for appointments etc.) via phone at
(760) 830-2752.
NPI number for Kelly Minor is 1972122331 and her current mailing address is 5429 Encelia Dr, Twentynine Palms, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972122331.
Provider's Profile
Full Name | Kelly Minor |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 5429 Encelia Dr, Twentynine Palms, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972122331
- Provider Enumeration Date: 04/15/2020
- Last Update Date: 04/15/2020
Medical Identifiers
Medical identifiers for Kelly Minor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972122331 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | R184255 (Maryland) | 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. Kelly Minor 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 |
Kelly Minor, CNM 5429 Encelia Dr, Twentynine Palms, CA 92277-1335 Ph: (239) 207-5220 | Kelly Minor, CNM 5429 Encelia Dr, Twentynine Palms, CA 92277-1335 Ph: (760) 830-2752 |
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