DIANE J KELLY MD NPI 1932190600

NPI Information

  • NPI: 1932190600
  • Provider Name: DIANE J KELLY, MD
  • Classification: Obstetrics & Gynecology - 207VX0000X
  • Specialization: Obstetrics
  • Entity Type: Individual
  • Address: 1223 GATEWAY DR
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 729-6166

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NPI Details

Diane J Kelly, MD is an obstetrics obstetrics gynecology in Melbourne, FL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee Diane J Kelly, MD NPI is 1932190600. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1223 GATEWAY DR
MELBOURNE, FL
ZIP 32901-607
Phone: (321) 729-6166
Fax: (321) 952-9406

The enumeration date for this NPI number is 11/2/2005 and was last updated on 4/9/2010.

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
1207VX0000XObstetrics & GynecologyObstetricsME47018FLORIDAYes

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
1160045705OTHERFLORIDARR MEDICARE
2B75214MEDICARE UPIN
3042339400MEDICAIDFLORIDA
405575YMEDICARE PINFLORIDA

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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