person
Kevin J Kelly, MD
Cardiovascular Disease Physician in Fort Wayne, Indiana
NPI 1982606315

Kevin J Kelly is a Cardiovascular Disease Physician based in Fort Wayne, IN and is specialized in Cardiovascular Disease. Kevin J Kelly practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Kevin J Kelly is 1982606315 and holds a License No. 01032406A (Indiana).

The current practice location address for Kevin J Kelly is 11108 Parkview Circle Dr, Fort Wayne, IN and can be reached out via phone at 260-266-5700 and via fax at 260-266-5920. You can also correspond with Kevin J Kelly through the mailing address at 3926 NEW VISION DR, FORT WAYNE, IN - 46845-1712 (mailing address contact number: 260-373-9705).

Location: 11108 Parkview Circle Dr, Fort Wayne, IN, 46845-1712
person
Provider Profile Details
NPI Number
1982606315
Provider Name
Kevin J Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11108 Parkview Circle Dr, Fort Wayne, IN, 46845-1712
Phone Number
260-266-5700
Fax Number
260-266-5920
Provider Enumeration Date
08/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060071114 01 OH RR MEDICARE
06199 01 OH MEDICAID OHIO PARAMONT
P00786817 01 IN R.R. MEDICARE
P00846125 01 OH MEDICARE RAILROAD
000000641087 01 IN ANTHEM
100360760 05 IN
0522401 05 OH
060070567 01 IN RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
11108 Parkview Circle Dr
City
State
Zip
46845-1730
Phone Number
260-266-5700
Fax Number
260-266-5920
person
Provider Business Mailing Address Details
Address
11108 Parkview Circle Dr
City
State
Zip
46845-1730
Phone Number
260-266-5700
Fax Number
260-266-5920
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
01032406A (Indiana)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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