Kyle Garrett Kelly, CRNA | |
705 Dixie St, Carrollton, GA 30117-3818 | |
(770) 836-9806 | |
Not Available |
Full Name | Kyle Garrett Kelly |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 705 Dixie St, Carrollton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1477250207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN251816 (Georgia) | Primary |
Entity Name | Tmc-west Georgia Anesthesia Associates Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740252022 PECOS PAC ID: 2365456308 Enrollment ID: O20060130000647 |
Mailing Address | Practice Location Address |
---|---|
Kyle Garrett Kelly, CRNA 787 Marshview Ln Nw, Kennesaw, GA 30152-2810 Ph: (478) 954-6725 | Kyle Garrett Kelly, CRNA 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 836-9806 |
Colby Jon Williamson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Brandon Gabe Graves, DNP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-812-9666 | |
Mark Schmitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703 | |
Jeffrey Dishman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703 | |
Glenn Jeffrey Ray, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-301-0858 | |
Mrs. Joann L Carson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 160 Clinic Ave, Carrollton, GA 30117 Phone: 770-834-1008 Fax: 770-834-2531 | |
Jaclyn M Aldridge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703 |