| Keith Michael Kelley, APRN-RNP, FNP-C | |
|
2048 N Woodburne Pl, Chandler, AZ 85224-1179 | |
| (480) 292-1140 | |
| Not Available |
| Full Name | Keith Michael Kelley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 2048 N Woodburne Pl, Chandler, Arizona |
| 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 |
|---|---|---|---|
| 1689467003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN196998 (Arizona) | Secondary |
| 363L00000X | Nurse Practitioner | 327863 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Desert Medical Center | Mesa, AZ | Hospital |
| Banner Baywood Medical Center | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Physician Specialists Arizona Llc | 6204002272 | 371 |
| Entity Name | Banner Physician Specialists Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821368218 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Michael Kelley, APRN-RNP, FNP-C 2048 N Woodburne Pl, Chandler, AZ 85224-1179 Ph: (480) 292-1140 | Keith Michael Kelley, APRN-RNP, FNP-C 2048 N Woodburne Pl, Chandler, AZ 85224-1179 Ph: (480) 292-1140 |
Ms. Jennifer Ann Green, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3887 S Soho Ln, Chandler, AZ 85286 Phone: 602-327-6641 |
Danielle Marin Hendrickson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 E Riggs Rd Ste 7, Chandler, AZ 85249 Phone: 480-677-8282 Fax: 888-316-1686 |
Terry L Horine, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2971 W Elliot Rd Ste 1, Chandler, AZ 85224 Phone: 480-733-5483 |
Jo Ann Owen Gott, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 N Cholla St, Chandler, AZ 85224 Phone: 480-203-1046 |
Saralyn Heddleston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 485 S Dobson Rd Ste 201, Chandler, AZ 85224 Phone: 480-728-4700 Fax: 480-728-4747 |
Ms. Jerwonna Glover, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3008 N Dobson Rd Ste 2, Chandler, AZ 85224 Phone: 480-496-2699 |
Ms. Knogwan Yuenyongsagul, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 655 S Dobson Rd Ste B113, Chandler, AZ 85224 Phone: 480-728-5020 Fax: 480-899-5023 |