Active NPI
Kelly L Kinney, M.D.
- Family Medicine Physician
- New London, NH
National Provider Identifier
1609895291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 042-0009599
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30205606 | Medicaid | NH | |
| P00396189 | Other | VT | RAILROAD MEDICARE |
| 0VN1745 | Medicaid | VT |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190726000426 | NH | Order and Referring Only - Family Practice | 1759375629 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Rivers Health Care, Inc. | Past | Accepting new patients | |
| Central Vermont Medical Center Inc | Family Medicine | Past | Accepting new patients |
| Brattleboro Memorial Hospital | Family Medicine | Past | Accepting new patients |
| Dartmouth-Hitchcock Clinic | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
Family Medicine
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
-
- Primary Care Clinic/Center
- Bradford, VT
- NPI 1033163555
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.