| Dr Matthew Thomas Kelly, DC | |
|
3615 Socialville Foster Rd, Mason, OH 45040-9671 | |
| (513) 770-0534 | |
| (513) 770-0536 |
| Full Name | Dr Matthew Thomas Kelly |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 20 Years |
| Location | 3615 Socialville Foster Rd, Mason, Ohio |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194864298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5124 (Kentucky) | Secondary |
| 111N00000X | Chiropractor | DC-04494 (Ohio) | Primary |
| 111N00000X | Chiropractor | CHIR008136 (Georgia) | Secondary |
| Provider Name | Elite Chiropractic LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386921211 PECOS PAC ID: 3274794896 Enrollment ID: O20120409000169 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Thomas Kelly, DC 3615 Socialville Foster Rd, Mason, OH 45040-9671 Ph: (513) 770-0534 | Dr Matthew Thomas Kelly, DC 3615 Socialville Foster Rd, Mason, OH 45040-9671 Ph: (513) 770-0534 |
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