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DR. JACKSON PATRICK KELLY MD
NPI 1215738646
Student in an Organized Health Care Education/Training Program in Cincinnati, OH

Active since March 21, 2025
3333 BURNET AVE, CINCINNATI, OH 45229(513) 636-4200 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jackson Patrick Kelly Md NPPES

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

DR. JACKSON PATRICK KELLY MD (NPI 1215738646) is an individual student in an organized health care education/training program in Cincinnati, Ohio and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1215738646
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JACKSON PATRICK KELLYCredential: MD
Location Address3333 BURNET AVECincinnati, OH 45229-3026
Mailing Address4020 Cannon Creek TrlGainesville, GA 30504-8220 · (706) 362-4207
Phone(513) 636-4200
Sole ProprietorNo
Enumeration DateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
✔ NPI 1215738646 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.
3333 BURNET AVE, Cincinnati, OH 45229
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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.

PREEYACHA PACHARN M.D.
Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Hamilton County (513) 636-4251
BRIAN KEITH TURPIN D.O.
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 636-3381
ETHAN J MUSGRAVE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229
Hamilton County (513) 636-4788
KATHRYN WEAVER M.D.
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Hamilton County (513) 636-4760
ROBIN T COTTON, MD, INC
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-7138
ELIZABETH ANN MOORE CNP
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
CONSTANCE MARIE MARTIN CNP
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-4355
EMILY RENAE LY LSW
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 803-6316

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 Jackson Kelly's NPI number?

The NPI number for Jackson Kelly is 1215738646. It was assigned to this individual provider in the NPPES registry on March 21, 2025.

Where is Jackson Kelly located?

Jackson Kelly practices at 3333 Burnet Ave, Cincinnati, OH 45229. The listed phone number is (513) 636-4200.

What is Jackson 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 Jackson Kelly was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.