| Lisa A Kelly, APRN,NP-C | |
|
12 Kanawha Ter, Saint Albans, WV 25177-2750 | |
| (304) 201-1130 | |
| (304) 201-1134 |
| Full Name | Lisa A Kelly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 12 Kanawha Ter, Saint Albans, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912317629 | NPI | - | NPPES |
| 1912317629 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 59915 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of West Virginia | Charleston, WV | Home health agency |
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Entity Name | Lincoln County Primary Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1942274543 PECOS PAC ID: 6204821879 Enrollment ID: O20040415000138 |
| Entity Name | Boone Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686725 PECOS PAC ID: 3375433352 Enrollment ID: O20051111000050 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1740450089 PECOS PAC ID: 4587568134 Enrollment ID: O20080807000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Kelly, APRN,NP-C 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9816 Ph: (304) 757-6999 | Lisa A Kelly, APRN,NP-C 12 Kanawha Ter, Saint Albans, WV 25177-2750 Ph: (304) 201-1130 |
Zachary Holbert, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2308 Curtis Ave, Saint Albans, WV 25177 Phone: 304-400-7241 Fax: 304-364-0011 | |
Jennifer Lynn Ranson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Kanawha Ter, Saint Albans, WV 25177 Phone: 304-201-1130 Fax: 304-201-1134 | |
Kathalene Antoinette Nottingham, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 987 Elliot St, Saint Albans, WV 25177 Phone: 304-982-2104 |