DR. LESTER KELTY MD NPI 1053371989

NPI Information

  • NPI: 1053371989
  • Provider Name: DR. LESTER KELTY, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 2701 17TH ST
    ROCK ISLAND, IL
    ZIP 61201
  • Phone: (309) 779-5000

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NPI Details

DR. Lester Kelty, MD is an emergency medicine in Rock Island, IL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Lester Kelty, MD NPI is 1053371989. 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:

2701 17TH ST
ROCK ISLAND, IL
ZIP 61201-351
Phone: (309) 779-5000

The enumeration date for this NPI number is 3/24/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine036056379ILLINOISYes

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
1IL0181OTHERJOHN DEERE
2L96115MEDICARE UPIN
393361OTHERBCWELLMARK WEST
491481OTHERBCWELLMARK 7TH
5930031176MEDICARE ID-TYPE UNSPECIFIEDRR MEDICARE
6036056379OTHERBCILLINIOS
72927525MEDICAIDIOWA
81927525MEDICAIDIOWA
9143400OTHERIHS

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: 11/21/2025

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