Kelly E Kries, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

36146 Issued in KY

Practice address

615 7TH Ave
Bowling Green, KY 42101

Phone

(270) 846-4800

Fax

(270) 846-4828

NPI assigned

Jul 12, 2006

Last updated

Jul 10, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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: kkries240501@direct.nortonhealthcare.org

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

• Community Medical Associates - Bowling Green LLC

  • Internal Medicine Physician
  • Bowling Green, KY
  • NPI 1891542718

  Pediatrics

  Medicare reassignment NPD
• Norton Children's Medical Group - Bowling Green LLC

  • Pediatrics Physician
  • Bowling Green, KY
  • NPI 1164279089
  Medicare reassignment NPD
• Norton Children's Medical Group, LLC

  dba Norton Children's Behavioral and Mental Health

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1457999096
  Medicare reassignment NPD
• Norton Children's Medical Group, LLC

  dba Norton Children's Dermatology

  • Pediatric Dermatology Physician
  • Louisville, KY
  • NPI 1336771161
  NPD
• Norton Children's Medical Group, LLC

  dba Norton Children's Radiologists

  • Pediatric Radiology Physician
  • Louisville, KY
  • NPI 1659913812
  NPD
• Allergy Care Bowling Green Inc

  • Allergy & Immunology Physician
  • Bowling Green, KY
  • NPI 1245371632
  NPD (past)
• Norton Childrens Medical Group, LLC

  dba Norton Children's Medical Group

  • Pediatrics Physician
  • Louisville, KY
  • NPI 1326695255
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1346275583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9880",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421029880",
            "telephone_number": "270-846-4800",
            "fax_number": "270-846-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 7TH AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42101",
            "telephone_number": "270-846-4800",
            "fax_number": "270-846-4828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Ashley Circle",
            "address_2": "Suite 200 Bowling Green Internal Medicine & Pediatric",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "42104",
            "country_code": "US",
            "telephone_number": "270-846-4800",
            "fax_number": "270-846-4828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Ashley Circle",
            "address_2": "Suite 200 Bowling Green Internal Medicine & Pediatric",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "42104",
            "country_code": "US",
            "telephone_number": "270-846-4800",
            "fax_number": "270-846-4828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIES",
        "first_name": "KELLY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "36146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1869901",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Matthew Korgan, CRNA
• Mary F Kovar, APRN
• Shanna D. Kozak, APRN
• Dana Clare Kramer, OT
• Christian Michael Kranz, CRNA
• Alexis M Kriete, BS, RBT
• Hannah Beth Krisher, MA, LPA
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kroger Limited Partnership I (Kroger Pharmacy)

• Pediatrics Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.