Active NPIIndividual provider

Gordon R Kelly, MD

Ophthalmology in Rutland, Vermont

NPI Number1023082336
Practice location
254 Stratton RD, Rutland, VT 05701
Fax
802-747-0602
Last updated
July 13, 2026

Gordon R Kelly is an Ophthalmology based in Rutland, VT. Gordon R Kelly practices in Rutland, VT and has the professional credentials of MD. The NPI Number for Gordon R Kelly is 1023082336 and holds a License No. 0420004097 (VT). The current practice location address for Gordon R Kelly is 254 Stratton RD, Rutland, VT 05701 and can be reached out via phone at 802-775-0038 and via fax at 802-747-0602.

Provider Profile Details

NPI Number
1023082336
Provider Name
Gordon R Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
254 Stratton RD, Rutland, VT 05701
Phone Number
802-775-0038
Fax Number
802-747-0602
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Provider Enumeration Date
February 14, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
254 Stratton RD
Rutland, VT 05701
State
Vermont
Zip
05701
Phone Number
802-775-0038
Fax Number
802-747-0602
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
254 Stratton RD
Gordon R Kelly MD
Rutland, VT 05701
City
Rutland
State
VT
Zip
05701
Phone Number
802-775-0038
Fax Number
802-747-0602

License Information

License Number
0420004097
License State
VT
Taxonomy
Ophthalmology · 207W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gordon R Kelly, MD?

The NPI number of Gordon R Kelly, MD is 1023082336. It was assigned on February 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Gordon R Kelly, MD?

Gordon R Kelly, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in VT under license number 0420004097.

Where does Gordon R Kelly, MD practice?

The practice location is 254 Stratton RD, Rutland, VT 05701. The office can be reached at 802-775-0038 (phone) or 802-747-0602 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023082336 directly on the NPPES registry website.

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