MR. TIMOTHY BRENT KELL NP NPI 1346415718

NPI Information

NPI: 1346415718
Provider Name: MR. TIMOTHY BRENT KELL, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: MERCY CLINIC ADULT CRITICAL CARE, LLC

PECOS Registration: Yes

Address:
615 S NEW BALLAS RD
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6486
Get Directions

MR. Timothy Brent Kell, NP is an adult health nurse practitioner in Saint Louis, MO with 18 years of experience. MR. Timothy Brent Kell, NP NPI is 1346415718. 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:

615 S NEW BALLAS RD
SAINT LOUIS, MO
ZIP 63141-221
Phone: (314) 251-6486

The NPI 1346415718 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 4/28/2008 and was last updated on 12/19/2014.

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	363LA2200X	Nurse Practitioner	Adult Health	2000151380	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	Other Provider Identifier Issuer
1	1346415718	MEDICAID	MISSOURI
2	P00995895	OTHER	MISSOURI	RAILROAD MEDICARE
3	146430009	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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