| Mrs Victoria Marie Kelley, RN | |
|
6847 N Chestnut St, Ravenna, OH 44266-3929 | |
| (330) 569-4963 | |
| Not Available |
| Full Name | Mrs Victoria Marie Kelley |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 6847 N Chestnut St, Ravenna, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033476874 | NPI | - | NPPES |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| 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 | Safe Anesthesia Geneva Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821327636 PECOS PAC ID: 4385771997 Enrollment ID: O20100429000743 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Victoria Marie Kelley, RN 8213 Clover Ln, Garrettsville, OH 44231-1060 Ph: (330) 569-4963 | Mrs Victoria Marie Kelley, RN 6847 N Chestnut St, Ravenna, OH 44266-3929 Ph: (330) 569-4963 |
Alec A Caruso Ii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 | |
Walter Omiecinski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 | |
Tanya J. Wilhelm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-2765 | |
Rosanna Lugenbeal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 | |
Amber Elise Bulcroft, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 | |
Alvin Osten, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 |