DR. EARL LEE KELLY MD NPI 1366556201

NPI Information

  • NPI: 1366556201
  • Provider Name: DR. EARL LEE KELLY, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1731 MEMORIAL DR
    SUITE 110
    CLARKSVILLE, TN
    ZIP 37043
  • Phone: (931) 221-2171

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NPI Details

DR. Earl Lee Kelly, MD is a family medicine in Clarksville, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Earl Lee Kelly, MD NPI is 1366556201. 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:

1731 MEMORIAL DR
SUITE 110
CLARKSVILLE, TN
ZIP 37043-523
Phone: (931) 221-2171
Fax: (931) 221-2173

The enumeration date for this NPI number is 8/18/2006 and was last updated on 9/10/2014.

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
1207Q00000XFamily MedicineMD17353TENNESSEEYes
2207QA0505XFamily MedicineAdult MedicineMD0000017353TENNESSEENo
3207QG0300XFamily MedicineGeriatric MedicineMD17353TENNESSEENo

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

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