Shaunda Elyse Kelly is a Birmingham, Alabama based Oral and Maxillofacial Surgeon who is specialized in Oral and Maxillofacial Surgery. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Shaunda Elyse Kelly is 5395 for Oral and Maxillofacial Surgery in Alabama. Her current practice location is 2000 6th Ave S, Birmingham. Patients can reach her at 205-934-9999.
Shaunda Elyse Kelly deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Shaunda Elyse 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.
Name:
Shaunda Elyse Kelly
Specialization:
Oral and Maxillofacial Surgeon
Gender:
Female
Credentials:
MD, DMD
Accepts Medicare Assignment:
No
Practice Address:
2000 6th Ave S, Birmingham, Alabama, 35233-2110
Phone:
205-934-9999
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:
1659540508
NPI Enumeration Date:
25 Feb, 2008
NPI Last Update On:
14 Mar, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shaunda Elyse Kelly are as mentioned below.
License Number
Specialization
State
Status
5395
Oral and Maxillofacial Surgery
Alabama
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Shaunda Elyse Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
051118224
Other
Alabama
BCBS
130496
Medicaid
Alabama
Z17060
Other
Alabama
VIVA
130492
Medicaid
Alabama
01281210
Medicaid
Mississippi
130497
Medicaid
Alabama
051118219
Other
Alabama
BCBS
051118223
Other
Alabama
BCBS
051118226
Other
Alabama
BCBS
130494
Medicaid
Alabama
051118221
Other
Alabama
BCBS
130495
Medicaid
Alabama
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 55310, Birmingham, Alabama
Zip:
35255-5310
Phone Number:
205-731-9701
Patients can reach Shaunda Elyse Kelly at 2000 6th Ave S, Birmingham, Alabama or can call to book an appointment on 205-934-9999. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.