KELTY KATHRYN SHELLHORN DO NPI 1902555428

NPI Information

  • NPI: 1902555428
  • Provider Name: KELTY KATHRYN SHELLHORN, DO
  • Classification: Hospitalist - 208M00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 820 PRUDENTIAL DR STE 304
    JACKSONVILLE, FL
    ZIP 32207
  • Phone: (904) 202-3860

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NPI Details

Kelty Kathryn Shellhorn, DO is a hospitalist in Jacksonville, FL with 4 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Kelty Kathryn Shellhorn, DO NPI is 1902555428. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Graduation Year:2022

The provider's business location address is:

820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL
ZIP 32207-205
Phone: (904) 202-3860
Fax: (904) 202-3846

The NPI 1902555428 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 3/22/2022 and was last updated on 8/13/2025.

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
1207R00000XInternal MedicineOS22633FLORIDANo
2208M00000XHospitalistOS22633FLORIDAYes

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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