| Russell Kelley, MD | |
|
2101 N Waldron St, Hutchinson, KS 67502-1131 | |
| (620) 669-2500 | |
| Not Available |
| Full Name | Russell Kelley |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 35 Years |
| Location | 2101 N Waldron St, Hutchinson, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881665727 | NPI | - | NPPES |
| 100161810 A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 04-25022 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hutchinson Regional Medical Center Inc | Hutchinson, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hutchinson Clinic P A Inc | 5597658492 | 104 |
| Entity Name | Hutchinson Clinic P A Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043298474 PECOS PAC ID: 5597658492 Enrollment ID: O20040204000969 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Kelley, MD 2101 N Waldron St, Hutchinson, KS 67502-1197 Ph: (620) 669-2500 | Russell Kelley, MD 2101 N Waldron St, Hutchinson, KS 67502-1131 Ph: (620) 669-2500 |
Caitlin Jo Pauly, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waldron St, Hutchinson, KS 67502 Phone: 620-669-2522 | |
Kathryn Graves, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waldron St, Hutchinson, KS 67502 Phone: 620-669-2500 | |
Stephen Marshall, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waldron St, Hutchinson, KS 67502 Phone: 620-669-2500 |