| Dr Kevin Daniel Kelley, MD, PHD | |
|
1353 E Market St, Warren, OH 44483-6637 | |
| (330) 841-9399 | |
| Not Available |
| Full Name | Dr Kevin Daniel Kelley |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 1353 E Market St, Warren, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558627539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 35.132015 (Ohio) | Primary |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Mercy Health Physicians Lorain Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126381 PECOS PAC ID: 4688070055 Enrollment ID: O20210909003432 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Daniel Kelley, MD, PHD 300 Community Dr, Manhasset, NY 11030-3816 Ph: (516) 562-0100 | Dr Kevin Daniel Kelley, MD, PHD 1353 E Market St, Warren, OH 44483-6637 Ph: (330) 841-9399 |
Dr. Sriram Mannava, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Dr. Murray H Weissmann, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Tejas Pulisetty, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Carol Congeni, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Mercedes E Ramas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Sami Sid Ahmed Elsayed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 |