Neil R Kelley, DPM is a
Podiatrist based in Fortuna, California. Neil R Kelley is licensed to practice in California (license number 000E23210) and his current practice location is
1730 Main St, Fortuna, California. He can be reached at his office (for appointments etc.) via phone at
(707) 725-5223.
NPI number for Neil R Kelley is 1437184025 and his current mailing address is 1730 Main St, Fortuna, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437184025.
Healthcare Provider's Profile
| Full Name | Neil R Kelley |
|---|
| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 1730 Main St, Fortuna, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437184025
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 03/27/2014
Medical Identifiers
Medical identifiers for Neil R Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437184025 | NPI | - | NPPES |
| GRE001770 | Medicaid | CA | |
| ZZZ64278Z | Other | CA | BLUE SHIELD |
| 201857499 | Other | CA | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 000E23210 (California) | Primary |
| 213ER0200X | Podiatrist - Radiology | 000E23210 (California) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 000E23210 (California) | Secondary |
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. Neil R Kelley 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 |
|---|
Neil R Kelley, DPM
1730 Main St,
Fortuna, CA 95540-2451
Ph: (707) 725-5223 | Neil R Kelley, DPM
1730 Main St,
Fortuna, CA 95540-2451
Ph: (707) 725-5223 |
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