MR. MICHAEL C KELLEY CRNA NPI 1649237991

NPI Information

  • NPI: 1649237991
  • Provider Name: MR. MICHAEL C KELLEY, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 1 MEDICAL VILLAGE DR
    EDGEWOOD, KY
    ZIP 41017
  • Phone: (859) 341-7246

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NPI Details

MR. Michael C Kelley, CRNA is a nurse anesthetist certified registered in Edgewood, KY. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. MR. Michael C Kelley, CRNA NPI is 1649237991. 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:

1 MEDICAL VILLAGE DR
EDGEWOOD, KY
ZIP 41017-403
Phone: (859) 341-7246
Fax: (859) 341-7867

The enumeration date for this NPI number is 4/28/2006 and was last updated on 5/1/2008.

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
1163W00000XRegistered Nurse136201OHIONo
2367500000XNurse Anesthetist, Certified Registered028218KENTUCKYYes

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
10798892MEDICAIDOHIO
274282187MEDICAIDKENTUCKY
3P00463796MEDICARE PIN
4000000373372OTHEROHIOANTHEM
5000000555281OTHERANTHEM
6P00261495OTHEROHIORAILROAD MEDICARE PALMETT
79318802OTHERPHCS
8200304960MEDICAIDINDIANA
98234344MEDICARE ID-TYPE UNSPECIFIEDOHIOPALMETTO GBA
100918145MEDICARE PIN
118234343MEDICARE ID-TYPE UNSPECIFIEDOHIO

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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