JEREMIAH F KELLY M.D. NPI 1043349608

NPI Information

NPI: 1043349608
Provider Name: JEREMIAH F KELLY, M.D.
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
SENIOR HEALTH CLINIC UNM
1101 MEDICAL ARTS AVE NE
ALBUQUERQUE, NM
ZIP 87131
Phone: (505) 272-6082
Get Directions

Jeremiah F Kelly, M.D. is a geriatric medicine internal medicine in Albuquerque, NM. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Jeremiah F Kelly, M.D. NPI is 1043349608. 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:

SENIOR HEALTH CLINIC UNM
1101 MEDICAL ARTS AVE NE
ALBUQUERQUE, NM
ZIP 87131-001
Phone: (505) 272-6082
Fax: (505) 272-7782

The enumeration date for this NPI number is 3/2/2007 and was last updated on 6/10/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		MD2011-0248	NEW MEXICO	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	MD2011-0248	NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A47268	MEDICARE UPIN	ILLINOIS

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

NPI Synchronization or Removal

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