WILLIAM FERRIS KELLY M.D. NPI 1881727212

NPI Information

NPI: 1881727212
Provider Name: WILLIAM FERRIS KELLY, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
317 WESTERN BLVD
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 577-2345
Get Directions

William Ferris Kelly, M.D. is a specialist in Jacksonville, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. William Ferris Kelly, M.D. NPI is 1881727212. 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:

317 WESTERN BLVD
JACKSONVILLE, NC
ZIP 28546-338
Phone: (910) 577-2345

The NPI 1881727212 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 3/14/2007 and was last updated on 7/9/2007.

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	174400000X	Specialist		0034643	NORTH CAROLINA	Yes

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
1	2351810	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	MEDICARE GROUP
2	8948216	MEDICAID	NORTH CAROLINA
3	48216	OTHER	NORTH CAROLINA	BLUE SHIELD NC
4	6907604	MEDICAID	NORTH CAROLINA
5	0760C	OTHER	NORTH CAROLINA	BLUE CROSS GROUP
6	562014989001	OTHER	NORTH CAROLINA	TRICARE GROUP
7	2170686A	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
8	F26948	MEDICARE UPIN	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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