MR. CHRISTOPHER W. KELLY FNP-C APRN MSN MSM NPI 1558605337

NPI Information

  • NPI: 1558605337
  • Provider Name: MR. CHRISTOPHER W. KELLY, FNP-C APRN, MSN, MSM
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 697 LOUISIANA RD
    DYESS AFB, TX
    ZIP 79607
  • Phone: (325) 696-4262

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NPI Details

MR. Christopher W. Kelly, FNP-C APRN, MSN, MSM is a family nurse practitioner in Dyess Afb, TX. MR. Christopher W. Kelly, FNP-C APRN, MSN, MSM NPI is 1558605337. 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:

697 LOUISIANA RD
DYESS AFB, TX
ZIP 79607-141
Phone: (325) 696-4262

The NPI 1558605337 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 11/19/2012 and was last updated on 7/24/2023.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramR861157MISSISSIPPINo
2363LF0000XNurse PractitionerFamily44039WYOMINGYes

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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