Thomas Kelly

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

20400 Marketplace Ave Apt 226
Kyle, TX 78640-6629

Phone

(904) 716-9512

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1407769607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20400 MARKETPLACE AVE APT 226",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406629",
            "telephone_number": "904-716-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 MARKETPLACE AVE APT 226",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406629",
            "telephone_number": "904-716-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Joy Kaut, R.N., A.N.P
• Kaleigh Brianne Keck
• Virginia Kekahuna, O.D.
• Amanda Leah Kelley
• Brian P Kelley, MD
• Abigail Kelso
• Crystal Lea Kent, LPC
• Payton Ann Kent
• Keshavi Patel PLLC
• Kids Dental Works (Kids Dental Smiles)

• Student in an Organized Health Care Education/Training Program in Kyle, TX
• Providers in Kyle, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.