DR. JENNY LEE KELTY M.D. NPI 1205893021

NPI Information

  • NPI: 1205893021
  • Provider Name: DR. JENNY LEE KELTY, M.D.
  • Classification: Pediatrics - 2080P0214X
  • Specialization: Pediatric Pulmonology
  • Entity Type: Individual
  • Address: 2730 A PROSPERITY AVENUE
    FAIRFAX, VA
    ZIP 22031
  • Phone: (703) 289-1410

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NPI Details

DR. Jenny Lee Kelty, M.D. is a pediatric pulmonology pediatrics in Fairfax, VA. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. DR. Jenny Lee Kelty, M.D. NPI is 1205893021. 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:

2730 A PROSPERITY AVENUE
FAIRFAX, VA
ZIP 22031-238
Phone: (703) 289-1410
Fax: (703) 289-1420

The enumeration date for this NPI number is 4/26/2006 and was last updated on 12/5/2007.

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
12080P0214XPediatricsPediatric Pulmonology0101236840VIRGINIAYes

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
10101037762MEDICAIDVIRGINIA

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: 3/30/2025

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