ALEXANDER PETER KELLY MD
NPI 1063351278
Student in an Organized Health Care Education/Training Program in Kansas City, MO

Q: What is Alexander Kelly's NPI number?

The NPI number for Alexander Kelly is 1063351278. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Q: What is Alexander Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Alexander Kelly was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2026PECOS Enrolled

1000 E 24TH ST, KANSAS CITY, MO 64108(816) 512-7000 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alexander Peter Kelly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER PETER KELLY MD (NPI 1063351278) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063351278

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameALEXANDER PETER KELLYCredential: MD

Location Address1000 E 24TH STKansas City, MO 64108-2776

Mailing Address1000 E 24th StKansas City, MO 64108-2776 · (816) 512-7000

Phone(816) 512-7000

Sole ProprietorNo

Enumeration DateMarch 25, 2026

NPPES CertifiedMarch 25, 2026

✔ NPI 1063351278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 E 24TH ST, Kansas City, MO 64108

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Peter Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VALERIE LEEANN RUEHTER PHARMD, BCPP

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