Dr Kyle W Kelly, OD | |
2301 10th Ave, Leavenworth, KS 66048-4214 | |
(913) 682-2929 | |
(913) 682-2999 |
Full Name | Dr Kyle W Kelly |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 2301 10th Ave, Leavenworth, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144221672 | NPI | - | NPPES |
1002187108 | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1309-3 (Kansas) | Primary |
Provider Name | Wyandotte Family Eyecare Center, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306181367 PECOS PAC ID: 5496981763 Enrollment ID: O20131114000671 |
Mailing Address | Practice Location Address |
---|---|
Dr Kyle W Kelly, OD 2301 10th Ave, Leavenworth, KS 66048-4214 Ph: (913) 682-2929 | Dr Kyle W Kelly, OD 2301 10th Ave, Leavenworth, KS 66048-4214 Ph: (913) 682-2929 |
Sarah Curley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 Fax: 913-758-4137 | |
Dr. Mark S Norris, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2301 10th Ave, Leavenworth, KS 66048 Phone: 913-682-2929 Fax: 913-682-2999 | |
Dr. Andrea Renee Chancey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2720 S 4th St, Leavenworth, KS 66048 Phone: 913-651-3344 Fax: 913-651-1029 | |
The Eyedoctors Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2720 S 4th St, Leavenworth, KS 66048 Phone: 636-200-4393 Fax: 913-651-1029 | |
Norris And Kelly, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 2301 10th Ave, Leavenworth, KS 66048 Phone: 913-682-2929 Fax: 913-682-2999 | |
Dennis Eye Care, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5000 10th Ave, Leavenworth, KS 66048 Phone: 913-250-0885 Fax: 913-250-0824 |