Aimee Crain Kelly, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3397-06 Issued in MS

Practice address

6771 Siwell Rd
Byram
Jackson, MS 39272-9697

Phone

(601) 373-4500

Fax

(601) 373-4503

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154543791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6771 SIWELL RD",
            "address_2": "BYRAM",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392729697",
            "telephone_number": "601-373-4500",
            "fax_number": "601-373-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6771 SIWELL RD",
            "address_2": "BYRAM",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392729697",
            "telephone_number": "601-373-4500",
            "fax_number": "601-373-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "AIMEE",
        "middle_name": "CRAIN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3397-06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianne Cronin Kelley, ANP-C
• Kimberly Kelley, NP
• Robert Mattthew Kelley Jr., MD
• Kelly Family Dentistry
• Ada Kelly, FNP-C
• Brycelynn Kelly
• Daniel H Kelly, M.D.
• Hailey Daniels Kelly, PA-C
• Isabella Kelly
• Jordan Christopher Kelly, DO

• General Practice Dentistry in Jackson, MS
• Providers in Jackson, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.