Nicholas Cameron Kelley, PT DPT | |
626b Main St Ste 201, Nashville, TN 37206-3639 | |
(866) 932-1798 | |
Not Available |
Full Name | Nicholas Cameron Kelley |
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Gender | Male |
Speciality | Physical Therapist |
Location | 626b Main St Ste 201, Nashville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902685449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 304937 (California) | Primary |
Provider Name | Green Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1649779919 PECOS PAC ID: 5597027581 Enrollment ID: O20180403002466 |
Mailing Address | Practice Location Address |
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Nicholas Cameron Kelley, PT DPT 24821 Evening Shadow Ct, Moreno Valley, CA 92557-4207 Ph: (951) 295-0804 | Nicholas Cameron Kelley, PT DPT 626b Main St Ste 201, Nashville, TN 37206-3639 Ph: (866) 932-1798 |
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Dr. Kathleen Mary Galloway, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 105 Cherokee Rd, Nashville, TN 37205 Phone: 615-495-1071 | |
Kelly Ann Chaffin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4230 Harding Rd, Suite 900, Nashville, TN 37205 Phone: 615-342-0038 | |
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