Kelly King MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11634 Issued in NV

Legal business name

KELLY KING MD PLLC

Practice address

1180 Sharon Way
Reno, NV 89509-2547

Phone

(775) 376-1507

NPI assigned

Dec 18, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Ann King, MD

Title

Ceo/Owner

Phone

(775) 376-1507

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1023439932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9930",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895070930",
            "telephone_number": "775-376-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SHARON WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092547",
            "telephone_number": "775-376-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY KING MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "775-376-1507",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matley Rae Kelley, RBT
• Shane Anna Kelley, PHD
• Cheri Kellie
• Kelly Family Dental, PC
• Kelly Grim
• Allison Kelly, LSW
• Ann Elizabeth Kelly
• Brianne Marie Kelly, PA
• Crystal Kelly
• Melanie Kelly, PHARMD

• Internal Medicine Physician in Reno, NV
• Providers in Reno, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.