| Kelly M Green, OTR/L | |
|
101 Windsor Path, Georgetown, KY 40324-9617 | |
| (859) 263-5140 | |
| (859) 263-5141 |
| Full Name | Kelly M Green |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 101 Windsor Path, Georgetown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912215229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | R4593 (Kentucky) | Secondary |
| 225X00000X | Occupational Therapist | 135581 (Kentucky) | Primary |
| Provider Name | Bluegrass Orthopaedics Psc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447622394 PECOS PAC ID: 4789988981 Enrollment ID: O20160209001611 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly M Green, OTR/L 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 Ph: (859) 263-5140 | Kelly M Green, OTR/L 101 Windsor Path, Georgetown, KY 40324-9617 Ph: (859) 263-5140 |
Dr. Michael Tre Winkfield, OTD, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Rabbit Run Rd, Georgetown, KY 40324 Phone: 502-209-0081 | |
Jenna Atwood, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 E Jefferson St, Georgetown, KY 40324 Phone: 859-224-2273 Fax: 859-224-4675 | |
Mrs. Bethanie Skaggs-manley, MS, OT/L, CBIS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Windsor Path, 4, Georgetown, KY 40324 Phone: 502-863-3870 | |
Dr. Jordan Taylor Balkin, OTD, OTR/L, CTRI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Richwood Cir, Georgetown, KY 40324 Phone: 716-783-6434 | |
Kameron Grigsby, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 E Jefferson St, Georgetown, KY 40324 Phone: 859-224-2273 Fax: 859-224-4675 | |
Mrs. Christina J Ferrell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 E Jefferson St, Georgetown, KY 40324 Phone: 859-224-2273 Fax: 859-224-4675 | |
Casey Humphrey, MHA, OTR/L, CBIS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Windsor Path, Suite 4, Georgetown, KY 40324 Phone: 502-863-3870 |