Dr Alan Dewitt Kennett Kelley, MD is a medicare enrolled "Family Medicine" physician in Whitwell, Tennessee. He went to University Of California, Davis School Of Medicine and graduated in 1983 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Park Medical and his current practice location is
13851 Highway 28, Whitwell, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 658-9200.
Dr Alan Dewitt Kennett Kelley is licensed to practice in Tennessee (license number 72213) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1558343087.
Physician's Profile
| Full Name | Dr Alan Dewitt Kennett Kelley |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 42 Years |
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| Location | 13851 Highway 28, Whitwell, Tennessee |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Alan Dewitt Kennett Kelley attended and graduated from University Of California, Davis School Of Medicine in 1983
NPI Data:
- NPI Number: 1558343087
- Provider Enumeration Date: 11/18/2005
- Last Update Date: 07/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850205386
- Enrollment ID: I20250721000097
Medical Identifiers
Medical identifiers for Dr Alan Dewitt Kennett Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558343087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 72213 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Park Medical | 1456721224 | 4 |
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. Dr Alan Dewitt Kennett Kelley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Alan Dewitt Kennett Kelley, MD
13851 Highway 28,
Whitwell, TN 37397-5373
Ph: (423) 658-9200 | Dr Alan Dewitt Kennett Kelley, MD
13851 Highway 28,
Whitwell, TN 37397-5373
Ph: (423) 658-9200 |
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