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MATTHEW DEAN KELLY
NPI 1164235826
Student in an Organized Health Care Education/Training Program in Kirksville, MO

Active since January 28, 2025
1509 BISHOP DR APT D, KIRKSVILLE, MO 63501(509) 282-0495 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Matthew Dean Kelly NPPES

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

MATTHEW DEAN KELLY (NPI 1164235826) is an individual student in an organized health care education/training program in Kirksville, Missouri and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1164235826
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW DEAN KELLY
Location Address1509 BISHOP DR APT DKirksville, MO 63501-2790
Mailing Address1509 Bishop Dr Apt DKirksville, MO 63501-2790 · (509) 282-0495
Phone(509) 282-0495
Sole ProprietorYes
Enumeration DateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1164235826 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.
1509 BISHOP DR APT D, Kirksville, MO 63501
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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 Matthew Kelly's NPI number?

The NPI number for Matthew Kelly is 1164235826. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Matthew Kelly located?

Matthew Kelly practices at 1509 Bishop Dr Apt D, Kirksville, MO 63501. The listed phone number is (509) 282-0495.

What is Matthew Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Matthew Kelly was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.