DR. RUSSELL F KELLY MD NPI 1841219789

NPI Information

NPI: 1841219789
Provider Name: DR. RUSSELL F KELLY, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
6701 AIRPORT BLVD STE C138
MOBILE, AL
ZIP 36608
Phone: (251) 333-3333
Get Directions

DR. Russell F Kelly, MD is a cardiovascular disease internal medicine in Mobile, AL with 37 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Russell F Kelly, MD NPI is 1841219789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

6701 AIRPORT BLVD STE C138
MOBILE, AL
ZIP 36608-784
Phone: (251) 333-3333
Fax: (251) 410-4444

The NPI 1841219789 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 7/19/2006 and was last updated on 4/17/2019.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	036-082186	ILLINOIS	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	R1973	TEXAS	Yes
3	207RI0011X	Internal Medicine	Interventional Cardiology	36353	ALABAMA	No

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: 4/28/2024

NPI Synchronization or Removal

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