KATHRYN MARIE COUTURE KELLY MD NPI 1053544783

NPI Information

NPI: 1053544783
Provider Name: KATHRYN MARIE COUTURE KELLY, MD
Classification: Hospitalist - 208M00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3003 W DR MARTIN LUTHER KING JR BLVD
CHRONIC COMPLEX CLINIC
TAMPA, FL
ZIP 33607
Phone: (813) 554-8121
Get Directions

Kathryn Marie Couture Kelly, MD is a hospitalist in Tampa, FL. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Kathryn Marie Couture Kelly, MD NPI is 1053544783. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3003 W DR MARTIN LUTHER KING JR BLVD
CHRONIC COMPLEX CLINIC
TAMPA, FL
ZIP 33607-307
Phone: (813) 554-8121

The NPI 1053544783 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2009 and was last updated on 2/4/2022.

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	License Number	License State	Primary
1	208000000X	Pediatrics	01071090A	INDIANA	No
2	208M00000X	Hospitalist	ME121201	FLORIDA	Yes
3	208000000X	Pediatrics	ME121021	FLORIDA	No

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	014414200	MEDICAID	FLORIDA
2	14T3P	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

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: 11/14/2023

NPI Synchronization or Removal

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