Provider Type Icon

KEVIN G. KELLY M.D. NPI 1770887945


NPI Information

NPI: 1770887945
Provider Name: KEVIN G. KELLY, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
13150 HIGHWAY 43
SUITE 10
RUSSELLVILLE, AL
ZIP 35653
Phone: (256) 332-5901
Get Directions

KEVIN G. KELLY, M.D. is a family medicine in Russellville, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KEVIN G. KELLY, M.D. NPI is 1770887945. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13150 HIGHWAY 43
SUITE 10
RUSSELLVILLE, AL
ZIP 35653-558
Phone: (256) 332-5901
Fax: (256) 332-6911

The provider's authorized official is Kevin G. Kelly .
The authorized official title is Owner and has the following contact phone number (256) 332-5901.

The enumeration date for this NPI number is 1/3/2011 and was last updated on 1/3/2011.


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
1207Q00000XFamily Medicine8497ALABAMAYes

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
1C70170MEDICARE UPINALABAMA
201253MEDICARE PINALABAMA
3000001253MEDICAIDALABAMA

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.