Kelly Pruett
Medical Specialty
Professional ID
- NPI: 1336217900
- PECOS ID: 4385817691
- Enrollment ID: I20111102000398
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2011
Hospital Service
- Hospital CCN1: 040152
- Business Name (LBN)1: Northwest Health Physicians Specialty Hospital
Medical Practices
- Organization Name: Nwa Orthopaedic Consulting, Pa
- Group Practice ID assigned by PECOS: 9739359696
- Number of Group Practice member: 4
Location
- Address1: 201 W Van Asche Loop
- Address2: Shoulder Center Of Arkansas
- City: Fayetteville
- State: Arkansas
- Zip Code: 72703
- Phone Number: (479)966-4491
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):