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NPI Code Detail

MEDICARE: KELSIE A KELLY MD

MEDICARE: KELSIE A KELLY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician94-07436KS

General Provider Information

NPI Number : 1952612251
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSIE A KELLY MD
Provider Business Mailing Address
First Line : PO BOX 411851
Second Line :
City : KANSAS CITY
State : MO
Zip : 64141-1851
Country : US
Telephone Number : 913-588-1944
Fax Number : 913-588-2496
Provider Business Practice Location Address
First Line : 4000 CAMBRIDGE ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8501
Country : US
Telephone Number : 913-588-1227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 06/01/2026

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Directions to “ KELSIE A KELLY MD” Practice Location

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