KEVIN G. KELLY, M.D. (NPI# 1770887945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770887945 |
| Entity Type | Organization |
| Organization Name | KEVIN G. KELLY, M.D. |
| Practice Address |
13150 Highway 43 Suite 10 Russellville AL 35653-4558 |
| Practice Telephone | 2563325901 |
| Practice Fax Number | 2563326911 |
| Mailing Telephone | 2563325901 |
| Mailing Fax Number | 2563326911 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |
| Authorized Official Name | KEVIN G. KELLY (OWNER) |
| Authorized Official Telephone | 2563325901 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 8497 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000001253 | 05 |
| Street Address |
13150 HIGHWAY 43 SUITE 10 |
| City | RUSSELLVILLE |
| State | AL |
| Zip Code | 35653-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972385 | Kevin Gerard Kelly | Family Medicine | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2005-09-20 |
| 1497297493 | Nataline Evelyn Pennington | Nurse Practitioner | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2016-11-08 |
| 1902145188 | Kevin Gerard Kelly | Clinic/Center | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2013-02-07 |
| 1073866489 | Jena Williams Hamm | Nurse Practitioner | 13150 Highway 43, Ste 10, Russellville, AL 35653-4558 | 2012-10-23 |
| 1972811453 | Yolanda Renee Ellison | Pharmacist | 13150 Highway 43, Russellville, AL 35653-4558 | 2010-09-19 |
| 1639406416 | Urgent Care of Russellville, LLC | Durable Medical Equipment & Medical Supplies | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2009-11-16 |
| 1821325606 | Urgent Care of Russellville, LLC | Clinic/Center | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2009-11-16 |
| 1568799344 | Russellville Diagnostics Center, LLC | Radiology | 13150 Highway 43, Suite 11, Russellville, AL 35653-4558 | 2009-11-16 |
| 1689837288 | Northwest Sleep Center PC | Clinic/Center | 13150 Highway 43, Suite 13, Russellville, AL 35653-4558 | 2008-07-03 |
| 1063594539 | Russellville Musculoskeletal Center Inc. | Orthopaedic Surgery | 13150 Highway 43, Suite 12, Russellville, AL 35653-4558 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902384720 | Randy Wade Gooch | Pharmacist | 13675 Us-43, Russellville, AL 35653 | 2018-08-02 |
| 1700301470 | Carole Ann Montgomery | Pharmacist | Walmart Pharmacy, 13675 Us-43, Russellville, AL 35653 | 2017-08-03 |
| 1548632755 | Amanda Carrie Franks | Health Educator | 265 Skyline Dr, Russellville, AL 35653 | 2015-10-27 |
| 1023411220 | Wesley Charles Mayfield | Pharmacist | 14001 Hwy 43 Suite 13, Russellville, AL 35653 | 2014-10-01 |
| 1831322841 | Family Health Care Clinic, Inc. | Clinic/Center | 318 Coffee Ave Ne, Russellville, AL 35653 | 2009-08-25 |
| 1538371075 | Eyedocs On Wheels PC | Optometrist | 15255 Hwy 43, Russellville, AL 35653 | 2007-05-04 |
| 1063634574 | Russellville Physician Practices LLC | Orthopaedic Surgery | 715 Gandy Street Ne, Suite B, Russellville, AL 35653 | 2007-05-03 |
| 1750404141 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 14695 Hwy 43, Russellville, AL 35653 | 2007-04-09 |
| 1629111703 | Franklin County Health Dept Offsite Epsdt | Public Health or Welfare | 801 Highway 48, Russellville, AL 35653 | 2007-02-15 |
| 1750457941 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 318 Coffee Avenue, Russellville, AL 35653 | 2006-11-28 |
| Find all providers in zip 35653 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302723 | Community Health Centers of Western Kentucky Inc | Family Medicine | 1497 Nashville Road, Russellville, KY 42276 | 2019-08-21 |
| 1437499068 | Douglas H Lowrey | Family Medicine | 301 S Utah Ave, Russellville, AR 72801-5626 | 2013-02-19 |
| 1174761167 | Wellness Consulting Services Inc | Family Medicine | 1605 West C Place, Russellville, AR 72801 | 2009-01-28 |
| 1437346624 | Southern Rural Health Care Consortium | Family Medicine | 15225 Hwy 43 Bypass, Russellville, AL 35653-0000 | 2007-10-02 |
| 1285849729 | Ryan Albert Gregorio | Family Medicine | 605 Gandy St Ne, Russellville, AL 35653-1911 | 2007-05-10 |
| 1760537633 | Harry Willi Kuberg | Family Medicine | 15225 Highway 43 Ste F, Russellville, AL 35653-1969 | 2007-01-23 |
| 1144395211 | Lawrence J. Gotts | Family Medicine | 1621 S Nashville St, Suite 104, Russellville, KY 42276-8871 | 2006-11-22 |
| 1063520278 | Laura M Lindsey | Family Medicine | 537 Gandy St Ne, Russellville, AL 35653-1965 | 2006-08-28 |
| 1699796334 | Logan Memorial Hospital | Family Medicine | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2006-07-21 |
| 1154350213 | Monfee Medical Clinic | Family Medicine | 3812 W. Main St., Russellville, AR 72811 | 2006-07-01 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 35653 |
Please comment or provide details below to improve the information on KEVIN G. KELLY, M.D..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.