Active NPIIndividual providerSole proprietor

Matthew Kelley, MD

Surgery in Newport, Vermont

NPI Number1417376476
Practice location
41 Medical Village Dr, Newport, VT 05855-9835
Fax
—
Last updated
July 7, 2021

Matthew Kelley is a Surgery based in Newport, VT. Matthew Kelley practices in Newport, VT and has the professional credentials of MD. The NPI Number for Matthew Kelley is 1417376476 and holds a License No. D87596 (MD). The current practice location address for Matthew Kelley is 41 Medical Village Dr, Newport, VT 05855-9835 and can be reached out via phone at 802-334-3500.

Provider Profile Details

NPI Number
1417376476
Provider Name
Matthew Kelley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
41 Medical Village Dr, Newport, VT 05855-9835
Phone Number
802-334-3500
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
Yes
Provider Enumeration Date
April 7, 2014
Last Update Date
July 7, 2021
Certification Date
July 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Medical Village Dr
Newport, VT 05855-9835
State
Vermont
Zip
05855-9835
Phone Number
802-334-3500
Newport, VT 05855Get directions →

Provider Business Mailing Address Details

Address
10807 Falls RD Unit 87
Brooklandville, MD 21022-7504
City
Brooklandville
State
MD
Zip
21022-7504
Fax Number
410-261-8085

License Information

License Number
D87596
License State
MD
Taxonomy
Surgery · 208600000X · 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 Matthew Kelley, MD?

The NPI number of Matthew Kelley, MD is 1417376476. It was assigned on April 7, 2014 and is currently active in the NPPES registry.

What is the specialty of Matthew Kelley, MD?

Matthew Kelley, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in MD under license number D87596.

Where does Matthew Kelley, MD practice?

The practice location is 41 Medical Village Dr, Newport, VT 05855-9835. The office can be reached at 802-334-3500 (phone).

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 1417376476 directly on the NPPES registry website.

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