CHRISTOPHER PATRICK KELLY PAC NPI 1407137110

NPI Information

  • NPI: 1407137110
  • Provider Name: CHRISTOPHER PATRICK KELLY, PAC
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 202 LARRY JOE HARLESS DR.
    GILBERT, WV
    ZIP 25621
  • Phone: (304) 664-6270

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NPI Details

Christopher Patrick Kelly, PAC is a physician assistant in Gilbert, WV with 14 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Christopher Patrick Kelly, PAC NPI is 1407137110. 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:

202 LARRY JOE HARLESS DR.
GILBERT, WV
ZIP 25621-842
Phone: (304) 664-6270
Fax: (304) 664-6272

The NPI 1407137110 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 9/8/2011 and was last updated on 4/3/2017.

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
1363A00000XPhysician Assistant01578WEST VIRGINIANo
2363A00000XPhysician Assistant601WEST VIRGINIANo
3363A00000XPhysician Assistant2800WEST VIRGINIAYes

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
1WV0394B662MEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
2WV0394B663MEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
3WV0394JMEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
4WV0394KMEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
5WV0394FMEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
63810025900MEDICAIDWEST VIRGINIA
7WV0394EMEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
8WV0394LMEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
9WV0394IMEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
10WV0394HMEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
11WV0394GMEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA

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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