Kelly Burgess M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KELLY BURGESS M.D.

Practice address

1140 Lexington Rd
Suite 200
Georgetown, KY 40324-9330

Phone

(502) 863-5150

Fax

(502) 863-4487

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Kelly R Burgess, M.D.

Title

Doctor

Phone

(502) 863-5150

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1568629418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON RD",
            "address_2": "SUITE 200",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-863-5150",
            "fax_number": "502-863-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON RD",
            "address_2": "SUITE 200",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-863-5150",
            "fax_number": "502-863-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY BURGESS M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "502-863-5150",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000368877",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64017783",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G63969",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis Kach
• Anne G Keenan, CSW
• Carla Jean Kelley, ARNP
• Carolyn Kelley
• Mechelle Kelley, RN
• Cheryl Lynn Kennedy
• Kentucky Anesthesia Group, PSC
• Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy #02332)
• Kentucky Hand & Physical Therapy, PLLC
• Kentucky Hand and Physical Therapy BC LLC (Kentucky Hand - Georgetown)

• Primary Care Clinic/Center in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.