Robin Kelly, is a
Registered Nurse - Psychiatric/mental Health based in Kathleen, Georgia. Robin Kelly is licensed to practice in Georgia (license number 285373) and her current practice location is
428a Lake Joy Rd, Kathleen, Georgia. She can be reached at her office (for appointments etc.) via phone at
(478) 338-4062.
NPI number for Robin Kelly is 1417455742 and her current mailing address is 428a Lake Joy Rd, Kathleen, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417455742.
Provider's Profile
Full Name | Robin Kelly |
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Gender | Female |
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Speciality | Registered Nurse - Psychiatric/mental Health |
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Location | 428a Lake Joy Rd, Kathleen, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417455742
- Provider Enumeration Date: 02/01/2018
- Last Update Date: 12/01/2022
Medical Identifiers
Medical identifiers for Robin Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417455742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 2478568 (Minnesota) | Secondary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 95209676 (California) | Secondary |
164W00000X | Licensed Practical Nurse | LPN076817 (Georgia) | Secondary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 285373 (Georgia) | 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. Robin 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 |
Robin Kelly, 428a Lake Joy Rd, Kathleen, GA 31047-2024 Ph: (478) 476-0805 | Robin Kelly, 428a Lake Joy Rd, Kathleen, GA 31047-2024 Ph: (478) 338-4062 |
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