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Kelly Pruett

  • Female

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):