Molly Kelly, | |
2018 Mcingvale Rd Ste 102, Hernando, MS 38632-8706 | |
(662) 298-2276 | |
(662) 298-2278 |
Full Name | Molly Kelly |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2018 Mcingvale Rd Ste 102, Hernando, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841058997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT-4089 (Mississippi) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1477224814 PECOS PAC ID: 4789602681 Enrollment ID: O20211115001046 |
Mailing Address | Practice Location Address |
---|---|
Molly Kelly, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: () - | Molly Kelly, 2018 Mcingvale Rd Ste 102, Hernando, MS 38632-8706 Ph: (662) 298-2276 |
Mrs. Katie Hunt, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 W South St, Hernando, MS 38632 Phone: 662-289-0066 | |
Southern Pediatric Therapy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1772 Carlee Dr, Hernando, MS 38632 Phone: 662-469-2906 | |
Joyce Young, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1325 Mcingvale Rd, Hernando, MS 38632 Phone: 662-428-2070 | |
Ms. Kiara Antoinette Davis, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1325 Mcingvale Rd, Hernando, MS 38632 Phone: 662-429-2070 | |
Jennifer Pacileo, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1772 Carlee Dr, Hernando, MS 38632 Phone: 662-469-2906 | |
D'allegra Cochran, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1481 Byhalia Rd, Hernando, MS 38632 Phone: 662-469-2906 | |
Kristen Nicole Walls, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 W South St, Hernando, MS 38632 Phone: 662-298-0066 |