Organization Active NPI

M Kelly Lynn MD PC

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1629812920
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
M KELLY LYNN MD PC
Doing business as
M Kelly Lynn MD PC
Practice address
250 Chateau Dr SW Ste 220
Huntsville, AL 35801-3497
Phone
(256) 881-1989
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Martin Kelly Lynn, MDNPI 1760464820
Title
Owner
Phone
(256) 881-1989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

250 Chateau Dr SW Ste 220
Huntsville, AL 35801-3497

Mailing address

250 Chateau Dr SW Ste 220
Huntsville, AL 35801-3497
Phone (256) 881-1989

Other practice location 1

250 Chateau Dr SW Ste 220
Huntsville, AL 35801-3497
Phone (256) 881-1989

Other names 1

  • M Kelly Lynn MD PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1629812920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CHATEAU DR SW STE 220",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013497",
            "telephone_number": "256-881-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CHATEAU DR SW STE 220",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013497",
            "telephone_number": "256-881-1989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Chateau Dr SW Ste 220",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358013497",
            "country_code": "US",
            "telephone_number": "256-881-1989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "M KELLY LYNN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-881-1989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M Kelly Lynn MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.