Ronald L Kelley, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

15143 Issued in KY

Practice address

6025 Kentucky Dam Rd
Paducah, KY 42003-9472

Phone

(270) 898-4044

Fax

(270) 898-4045

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Behavioral Wellness LLC

  • Psychiatry Physician
  • Paducah, KY
  • NPI 1841049855
  NPD (past)
• Emerald Therapy Center, LLC

  • Rural Health Clinic/Center
  • Paducah, KY
  • NPI 1023715281
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1033196019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 KENTUCKY DAM RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420039472",
            "telephone_number": "270-898-4044",
            "fax_number": "270-898-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 KENTUCKY DAM RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420039472",
            "telephone_number": "270-898-4044",
            "fax_number": "270-898-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "RONALD",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "15143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vratislav V Kejzlar, MD
• Mary Keller, DPT
• Rudy Kellett
• Cecilia Kelley-Burt, RBT
• Amber Renee Kelley-Harned, RPH
• Samuel K Kelley, M.D.
• Keith Edward Kelly, M.D.
• Laura Elizabeth Kelso, FNP-BC
• Lauren Kemmerlin
• Tracey Kendall, APSST

• Psychiatry Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.