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DR. CAMERON RYAN KELLY DC
NPI 1104605666
Student in an Organized Health Care Education/Training Program in Mount Dora, FL

Active since September 25, 2023
343 STANLEY BELL DR, MOUNT DORA, FL 32757(407) 937-9674 Get Directions Write a Review

NPPES record last updated: November 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Cameron Ryan Kelly Dc NPPES

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

DR. CAMERON RYAN KELLY DC (NPI 1104605666) is an individual student in an organized health care education/training program in Mount Dora, Florida and active in the NPI registry since September 2023. He is a graduate of Palmer College Chiropractic - Davenport (2023).

NPPES Registry Identity

NPI1104605666
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CAMERON RYAN KELLYCredential: DC
Location Address343 STANLEY BELL DRMount Dora, FL 32757-5919
Mailing Address343 Stanley Bell DrMount Dora, FL 32757-5919 · (407) 937-9674
Phone(407) 937-9674
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2023
Enumeration DateSeptember 25, 2023
Last NPPES UpdateNovember 5, 2023
NPPES CertifiedNovember 5, 2023
✔ NPI 1104605666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedChiropractorTaxonomy 111N00000X · License 14755 (FL)
343 STANLEY BELL DR, Mount Dora, FL 32757
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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)

Dr. Cameron Ryan Kelly Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375047574
PECOS Enrollment IDI20251002004198

Other Providers at the Same Location NPPES

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

WHITNEY ROBIN KELLY DC
Chiropractor
343 STANLEY BELL DR
MOUNT DORA, FL 32757
Orange County (561) 436-6766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cameron Kelly's NPI number?

The NPI number for Cameron Kelly is 1104605666. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Cameron Kelly located?

Cameron Kelly practices at 343 Stanley Bell Dr, Mount Dora, FL 32757. The listed phone number is (407) 937-9674.

What is Cameron Kelly's specialty?

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

Is Cameron Kelly enrolled in Medicare?

Yes. Cameron Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cameron Kelly was last updated on November 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.