COLIN KENNETH KELLY M.D. NPI 1972953339

NPI Information

NPI: 1972953339
Provider Name: COLIN KENNETH KELLY, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
BUREAU OF MEDICINE & SURGERY DETACHMENT
NAS JACKSONVILLE, BUILDING 554
JACKSONVILLE, FL
ZIP 32212
Phone: (843) 794-6994
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Colin Kenneth Kelly, M.D. is a general practice in Jacksonville, FL. Colin Kenneth Kelly, M.D. NPI is 1972953339. 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:

BUREAU OF MEDICINE & SURGERY DETACHMENT
NAS JACKSONVILLE, BUILDING 554
JACKSONVILLE, FL
ZIP 32212
Phone: (843) 794-6994

The enumeration date for this NPI number is 6/16/2016 and was last updated on 7/9/2018.

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	208D00000X	General Practice		0101264704	VIRGINIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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