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DR. KEVIN J KELLY MD NPI 1396703450


NPI Information

NPI: 1396703450
Provider Name: DR. KEVIN J KELLY, MD
Classification: Pediatrics - 2080P0201X
Entity Type: Individual

Specialization: Pediatric Allergy/Immunology

Address:
9000 W WISCONSIN AVE
PEDIATRIC ALLERGY/IMMUNOLOGY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 607-5280
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DR. Kevin J Kelly, MD is a pediatric allergy/immunology pediatrics in Milwaukee, WI. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. DR. Kevin J Kelly, MD NPI is 1396703450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9000 W WISCONSIN AVE
PEDIATRIC ALLERGY/IMMUNOLOGY
MILWAUKEE, WI
ZIP 53226-874
Phone: (414) 607-5280
Fax: (414) 266-6849

The enumeration date for this NPI number is 5/1/2006 and was last updated on 12/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics2005026718MISSOURINo
22080P0201XPediatricsPediatric Allergy/Immunology22420WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1736011566MEDICARE PINWISCONSIN
2B54077MEDICARE UPIN
3269E123MEDICARE ID-TYPE UNSPECIFIED
4207550708MEDICAIDMISSOURI
51396703450MEDICAIDWISCONSIN
6680860581MEDICARE PINWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.