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DAVID R. KELLY M.D. P.S.C. NPI 1457402786


NPI Information

NPI: 1457402786
Provider Name: DAVID R. KELLY, M.D., P.S.C.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1780 NICHOLASVILLE RD
SUITE 201
LEXINGTON, KY
ZIP 40503
Phone: (859) 278-8499
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DAVID R. KELLY, M.D., P.S.C. is a neurology psychiatry neurology in Lexington, KY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DAVID R. KELLY, M.D., P.S.C. NPI is 1457402786. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1780 NICHOLASVILLE RD
SUITE 201
LEXINGTON, KY
ZIP 40503-400
Phone: (859) 278-8499
Fax: (859) 278-8683

The provider's authorized official is David Robert Kelly .
The authorized official title is President and has the following contact phone number (859) 278-8499.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 12/7/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology27570KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165944159MEDICAIDKENTUCKY
29827MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY

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

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