ETHAN KELLY MD NPI 1255088068

NPI Information

  • NPI: 1255088068
  • Provider Name: ETHAN KELLY, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 18511 HIGHLANDER MEDICS ST
    FORT BLISS, TX
    ZIP 79906
  • Phone: (915) 742-7777

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NPI Details

Ethan Kelly, MD is an emergency medicine in Fort Bliss, TX. 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. Ethan Kelly, MD NPI is 1255088068. 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:

18511 HIGHLANDER MEDICS ST
FORT BLISS, TX
ZIP 79906-327
Phone: (915) 742-7777

The enumeration date for this NPI number is 3/2/2022 and was last updated on 8/28/2025.

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 MedicineV8298TEXASYes

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

NPI Synchronization or Removal

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