Dr Terrence Kelly, DO is a
Student In An Organized Health Care Education/training Program physician based in Joplin, Missouri. Dr Terrence Kelly is licensed to practice in * (Not Available) (license number ) and his current practice location is 1102 W 32nd St, Joplin, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 347-6612.
NPI number for Dr Terrence Kelly is 1306584974 and his current mailing address is 1102 W 32nd St, Joplin, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306584974.
Physician's Profile
| Full Name | Dr Terrence Kelly |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1102 W 32nd St, Joplin, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306584974
- Provider Enumeration Date: 05/24/2022
- Last Update Date: 03/26/2025
Medical Identifiers
Medical identifiers for Dr Terrence Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306584974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2025002955 (Missouri) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Dr Terrence Kelly 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 |
|---|
Dr Terrence Kelly, DO
1102 W 32nd St,
Joplin, MO 64804-3503
Ph: (913) 645-5541 | Dr Terrence Kelly, DO
1102 W 32nd St,
Joplin, MO 64804-3503
Ph: (417) 347-6612 |
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