| Kelly Cloninger, | |
|
2701 Pickett Rd, Durham, NC 27705-5688 | |
| (919) 419-9600 | |
| Not Available |
| Full Name | Kelly Cloninger |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2701 Pickett Rd, Durham, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881816940 | NPI | - | NPPES |
| 5183 | Other | NC | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5183 (North Carolina) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Cloninger, 4408 Dolwick Dr, Durham, NC 27713-6530 Ph: () - | Kelly Cloninger, 2701 Pickett Rd, Durham, NC 27705-5688 Ph: (919) 419-9600 |
Robin Sheila Munsey, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Erwin Rd, Durham, NC 27705 Phone: 919-668-3988 | |
Ms. Sarah Mary Evanko, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3905 University Dr, Durham, NC 27707 Phone: 919-928-0204 | |
Karen Whitney Wurzinger, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 Erwin Rd Rm 6218, Durham, NC 27705 Phone: 919-681-2030 | |
Robbin A. Newton, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Dumc 3120, Durham, NC 27710 Phone: 919-684-2869 Fax: 919-681-7574 | |
Jonelle Claricia Bedford, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 808 Bacon St, Durham, NC 27703 Phone: 919-560-2000 | |
William Matthew Hammond, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3643 N Roxboro St, Durham, NC 27704 Phone: 919-470-7207 | |
Noam Shemer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 808 Bacon St, Durham, NC 27703 Phone: 919-560-2000 |