Larry W Kelly
M.D. | Pediatrics | Male
Larry W Kelly, M.D. is a Pawleys Island, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Larry W Kelly is
64 Business Center Dr, Pawleys Island, South Carolina - 29585-7963. He can be contacted on phone at
843-314-1314 and fax number 843-314-1307.
Larry W Kelly is a sole proprietor of his business.
NPI number (Unique professional ID) for Larry W Kelly is
1194727628 which was assigned by NPPES on 15 Aug, 2005 and it was last updated on 21 Apr, 2015.
Larry W Kelly license number is
20643 for Pediatrics (208000000X) in South Carolina.
Larry W Kelly is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Larry W Kelly basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Larry W Kelly |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Larry W Kelly address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 64 Business Center Dr
Pawleys Island, SC, 29585-7963
United States |
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| Phone Number : | 843-314-1314 |
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| Fax Number : | 843-314-1307 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1194727628 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Aug, 2005 |
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| Last Updated On : | 21 Apr, 2015 |
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Medicare Participation:
Larry W Kelly participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4981788791 |
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| Medicare Enrollment ID : | I20100611000197 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | Duke University School Of Medicine |
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| Graduation Year : | 1993 |
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| Accepts Medicare? | Yes. Larry W Kelly accepts medicare insurance. |
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Group Practice Association:
Larry W Kelly is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Larry W Kelly is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Georgetown Internists And Pediatricians Inc | 6800860099 | 4 | 64 Business Ctr Dr
Pawleys Island, SC - 295857963
Ph: 8433141303 | Yes |
| Georgetown Memorial Hospital | 8224942123 | 67 | 606 Black River Rd
Georgetown, SC - 294403304
Ph: 8435277000 | Yes |
| Waccamaw Community Hospital | 9133036932 | 78 | 4070 Hwy 17 By Pass
Murrells Inlet, SC - 295763350
Ph: 8436521000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larry W Kelly are as mentioned. Primary taxonomy code for Larry W Kelly, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207R00000X | Internal Medicine | No | 20643 | SC |
| 208000000X | Pediatrics | Yes | 20643 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Larry W Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| T47633 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 64 Business Center Dr
Pawleys Island, SC, 29585-7963
United States |
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| Phone Number : | 843-314-1314 |
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| Fax Number : | 843-314-1307 |
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Business Location:
Patients can refer following map for directions to
Larry W Kelly practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.