NPIMap

Organization Active NPI

David R. Kelly, M.D., P.S.C.

  • Neurology Physician
  • Lexington, KY
National Provider Identifier
1457402786
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
27570 Issued in KY
Legal business name
DAVID R. KELLY, M.D., P.S.C.
Practice address
1780 Nicholasville Rd
Suite 201
Lexington, KY 40503-1400
Phone
(859) 278-8499
Fax
(859) 278-8683
NPI assigned
Jan 15, 2007
Last updated
Dec 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Dr. David Robert Kelly, M.D.NPI 1245278043
Title
President
Phone
(859) 278-8499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 27570 KY Primary

Addresses

Primary practice location

1780 Nicholasville Rd
Suite 201
Lexington, KY 40503-1400

Mailing address

1780 Nicholasville Rd
Suite 201
Lexington, KY 40503-1400
Phone (859) 278-8499

Other identifiers 1

IdentifierTypeStateIssuer
65944159MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1457402786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 NICHOLASVILLE RD",
            "address_2": "SUITE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031400",
            "telephone_number": "859-278-8499",
            "fax_number": "859-278-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 NICHOLASVILLE RD",
            "address_2": "SUITE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031400",
            "telephone_number": "859-278-8499",
            "fax_number": "859-278-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. KELLY, M.D., P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-278-8499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "27570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65944159",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.