DR. BRIAN J. KELLY M.D. NPI 1275550717

NPI Information

NPI: 1275550717
Provider Name: DR. BRIAN J. KELLY, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
11365 DORSETT RD.
MARYLAND HEIGHTS, MO
ZIP 63043
Phone: (314) 872-6430
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DR. Brian J. Kelly, M.D. is a pediatrics in Maryland Heights, MO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Brian J. Kelly, M.D. NPI is 1275550717. 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:

11365 DORSETT RD.
MARYLAND HEIGHTS, MO
ZIP 63043
Phone: (314) 872-6430
Fax: (314) 872-6500

The enumeration date for this NPI number is 7/17/2006 and was last updated on 3/26/2009.

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	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	105182	MISSOURI	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	105182	MISSOURI	No
3	208000000X	Pediatrics		105182	MISSOURI	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
1	171010381	MEDICARE PIN
2	370019085	MEDICARE PIN
3	G92959	MEDICARE UPIN
4	036057823	MEDICAID	ILLINOIS
5	207674029	MEDICAID	MISSOURI

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: 5/5/2024

NPI Synchronization or Removal

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