Individual provider Active NPI

Kelly L Kinney, M.D.

  • Family Medicine Physician
  • New London, NH
National Provider Identifier
1609895291
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042-0009599 Issued in VT
Practice address
273 County Rd
New London, NH 03257-5736
Phone
(603) 526-5215
Fax
(603) 526-5290
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042-0009599 VT Primary

Addresses

Primary practice location

273 County Rd
New London, NH 03257-5736

Mailing address

PO Box 2150
273 County Road
New London, NH 03257-2150
Phone (603) 526-5215

Other identifiers 3

IdentifierTypeStateIssuer
30205606MedicaidNH
P00396189OtherVTRAILROAD MEDICARE
0VN1745MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20190726000426 NH Order and Referring Only - Family PracticePractitioner - Family Practice 1759375629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Little Rivers Health Care, Inc. Past Accepting new patients
Central Vermont Medical Center Inc Family Medicine PastSince Oct 23, 2017 Accepting new patients
Brattleboro Memorial Hospital Family Medicine PastSince Aug 1, 2016 Accepting new patients
Dartmouth-Hitchcock Clinic Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1609895291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2150",
            "address_2": "273 COUNTY ROAD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032572150",
            "telephone_number": "603-526-5215",
            "fax_number": "603-526-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 COUNTY RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575736",
            "telephone_number": "603-526-5215",
            "fax_number": "603-526-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "KELLY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0009599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30205606",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00396189",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1745",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, NH

Sources for this page

Verify at the official NPI Registry.