Provider profile
IndividualMark Kim Kelly
Radiology in Fort Wayne, IN. NPI 1639300932, listed in the CMS NPI Registry since 08/04/2009. Bills Medicare.
NPI 1639300932Specialty RadiologyEnumerated 08/04/2009
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Registry and Medicare facts
- Practice location
- 3707 New Vision Dr, Fort Wayne, IN 46845 CMS NPI Registry
- Specialty
- Radiology CMS NPI Registry
- Subspecialty
- Diagnostic Radiology CMS NPI Registry
- Enumeration date
- 08/04/2009 CMS NPI Registry
- Bills Medicare
- Yes CMS Medicare 2024
- Medicare patients
- 4,564 Part B CMS Medicare 2024
In the full profile
Locked- 159 procedure codesBilled HCPCS codes with volume and payments, CMS Medicare 2024
- 20 similar providersLook-alike providers in IN by patient mix and volume
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