| Doctors House Call, Pa | |
|
1320 Curry Road I Clovis NM 88101-9509 | |
| (575) 309-2559 | |
| (888) 803-4502 |
| Full Name | Doctors House Call, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1320 Curry Road I, Clovis, New Mexico |
| Authorized Official Name and Position | Kenneth Farrel Kelly (OWNER) |
| Authorized Official Contact | 5753092559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors House Call, Pa 295 E Hwy 50 Ste 5 Clermont FL 34711-2576 Ph: (575) 309-2559 | Doctors House Call, Pa 1320 Curry Road I Clovis NM 88101-9509 Ph: (575) 309-2559 |
| NPI Number | 1275271066 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 07/06/2022 |
| Medicare PECOS PAC ID | 8729468210 |
|---|---|
| Medicare Enrollment ID | O20220629003509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275271066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kenneth F Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740255942 PECOS PAC ID: 6709915549 Enrollment ID: I20100603000602 |
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