Derek M Kelly

MD | Pediatric Orthopedic | 18+ years Exp


  
1458 W Poplar Ave, Suite 100, Collierville
Tennessee, 38017-0630

 901-759-3100     901-759-3196Maps & Directions
Derek M Kelly is a Collierville, Tennessee based male orthopedic surgeon with 18 years of experience in Pediatric Orthopedic. He completed his graduation from University Of Arkansas College Of Medicine in 2002. He is also affiliated with hospitals like Regional One Health. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Derek M Kelly is 43223 for Pediatric Orthopedic in Tennessee.
Derek M Kelly has done additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Complete Profile:
Derek M Kelly speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Orthopedic - Pediatric Orthopedic
Credentials: MD
Experience: 18+ years
Medical School Attended:University Of Arkansas College Of Medicine
Graduation Year:2002
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:1458 W Poplar Ave, Suite 100, Collierville,
Tennessee, 38017-0630
Phone:901-759-3100
Fax:901-759-3196

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.
PAC ID: 0143394478
Enrollment ID: I20080805000673
NPI Number: 1649499971
NPI Enumeration Date: 25 Apr, 2007
NPI Last Update On: 01 May, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derek M Kelly are as mentioned below.
License NumberSpecializationStateStatus
43223Pediatric Orthopedic TennesseePrimary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Regional One Health (440152)Memphis, TNAcute Care Hospital
Group Practice:
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 Derek M Kelly is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Campbell Clinic Pc (9638082076)81
Campbell Clinic Pc (9638082076)81
Other Medical Identifiers:
Other legacy medical identifiers associated with Derek M Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
174871001MedicaidArkansas
04951036MedicaidMississippi
1508536MedicaidTennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1400 S Germantown Rd,
Germantown, Tennessee
Zip: 38138-2205
Phone Number: 901-759-3100
Fax Number: 901-759-3196
Patients can reach Derek M Kelly at 1458 W Poplar Ave, Suite 100, Collierville, Tennessee or can call to book an appointment on 901-759-3100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 12 May, 2020.

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