Active NPI
Kimberly Joyce Kelly, AU.D.
- Specialist
- Lititz, PA
National Provider Identifier
1861453052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AT055864
- Practice address
- 100 Highlands Dr
Suite 201
Lititz, PA 17543-7693 - Phone
- (717) 627-4327
- Fax
- (717) 627-2690
- NPI assigned
- Mar 29, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | AT055864 | PA | Primary |
Addresses
Primary practice location
100 Highlands Dr
Suite 201
Lititz, PA 17543-7693
Mailing address
325 Carol Lynn Dr
Willow Street, PA 17584-9364
Phone (717) 464-2144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
930 Red Nose CT
Suite 301
Lancaster, PA 17601-1981
Phone (717) 517-9083
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT055864 | PA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaf and Hard of Hearing Services of Lancaster County | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Lancaster, PA
- NPI 1962766279
-
- Audiologist
- Lancaster, PA
- NPI 1275752305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1861453052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 CAROL LYNN DR",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175849364",
"telephone_number": "717-464-2144",
"fax_number": "717-464-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HIGHLANDS DR",
"address_2": "SUITE 201",
"city": "LITITZ",
"state": "PA",
"postal_code": "175437693",
"telephone_number": "717-627-4327",
"fax_number": "717-627-2690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "KIMBERLY",
"middle_name": "JOYCE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "AT055864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.