Marshall Kelley, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0422669 Issued in KS

Practice address

1803 W 6TH St
Lawrence, KS 66044-1710

Phone

(785) 841-7297

Fax

(785) 856-0375

NPI assigned

Jul 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marshall.kelley@khindirect.org

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.

• Heartland Medical Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lawrence, KS
  • NPI 1487107447

  Pediatrics

  Medicare reassignment NPD (past)
• Heartland Medical Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Lawrence, KS
  • NPI 1356941306

  Pediatrics

  NPD
• Heartland Medical Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Lawrence, KS
  • NPI 1689367252

  Pediatrics

  NPD

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1164429114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442219",
            "telephone_number": "785-841-7297",
            "fax_number": "785-856-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441710",
            "telephone_number": "785-841-7297",
            "fax_number": "785-856-0375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660442219",
            "country_code": "US",
            "telephone_number": "785-841-7297",
            "fax_number": "785-856-0375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MARSHALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0422669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100149670A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Keffer, CPHT.
• Keller Plastic Surgery LLC
• John W Keller, MD
• Allen K Kelley, D.D.S.
• Kelley, Heck P.a.
• Ashley Kelsey, DPT
• Charles Kendall, DDS
• Laura Elaine Kennedy, M.D.
• Kent E. Dobbins O.D. & Jacob W. Letourneau O.D., P.a.
• Timothy N Keogh, LMSW

• Pediatrics Physician in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.