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Donald R Kelly (P.A.)

Mr. Donald R Kelly (P.A.) is a health care provider specializes in Physician Assistant. He is associated with medical group practice TANANA CHIEFS CONFERENCE and is affiliated with 2 hospitals as shown below.

profile-icon Basic Information

Practice Location 2121 E Harmony Rd, Ste 330, Fort Collins, CO 80528-3400, US
Practice Location Phone970-221-5878
Practice Location Fax970-221-3564
GenderMale
Specialty InPhysician Assistant
Medical SchoolOther
Graduation Year1994
NPI ?1942269873
PECOS ID2163579137
Enrollment IDI20160316000188
Entity TypeIndividual
Enumeration Date ? Mar 20, 2006
Last Update Date ? Dec 26, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Donald R Kelly

SpecialtySpecializationLicenseLicense State
Physician Assistant PA.0000747Colorado
Physician AssistantSurgical Technologist 747Colorado

Medicare-icon Medicare Participation of Donald R Kelly

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Donald R Kelly

Medical Group PracticeTanana Chiefs Conference
Affiliation 1 Kanakanak Hospital
Affiliation 2 Big Horn Co Memorial Hospital

legacy-id-icon Legacy Provider IDs of Donald R Kelly

Provider IdIssuer StateIssuer TypeIssuer
07007479ColoradoMedicaid
P01052988ColoradoOtherRR MEDICARE