Kaitlyn Rose Kelley, is a
Psychologist - School based in Saint Jacob, Illinois. Kaitlyn Rose Kelley is licensed to practice in * (Not Available) (license number ) and her current practice location is
2575 Triad Rd, Saint Jacob, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 978-5847.
NPI number for Kaitlyn Rose Kelley is 1386108173 and her current mailing address is 2575 Triad Rd, Saint Jacob, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386108173.
Healthcare Provider's Profile
Full Name | Kaitlyn Rose Kelley |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 2575 Triad Rd, Saint Jacob, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386108173
- Provider Enumeration Date: 01/25/2019
- Last Update Date: 01/25/2019
Medical Identifiers
Medical identifiers for Kaitlyn Rose Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386108173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
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. Kaitlyn Rose 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 |
Kaitlyn Rose Kelley, 2575 Triad Rd, Saint Jacob, IL 62281-1125 Ph: () - | Kaitlyn Rose Kelley, 2575 Triad Rd, Saint Jacob, IL 62281-1125 Ph: (618) 978-5847 |
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