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HARRY KELLY
NPI 1285705848
Specialist in Mammoth Springs, AR

Active since November 13, 2006PECOS Enrolled
236 MAIN STREET, MAMMOTH SPRINGS, AR 72554(870) 625-3228 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harry Kelly NPPES

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

HARRY KELLY (NPI 1285705848) is an individual specialist in Mammoth Springs, Arkansas, licensed in Missouri (R8A66) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285705848
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameHARRY KELLY
Location Address236 MAIN STREETMammoth Springs, AR 72554
Mailing AddressPo Box 1100West Plains, MO 65775-1100
Phone(870) 625-3228
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285705848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MO · R8A66
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
236 MAIN STREET, Mammoth Springs, AR 72554
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Other Identifiers 1

Medicare UPINA10355

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harry Kelly 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.

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 Harry Kelly's NPI number?

The NPI number for Harry Kelly is 1285705848. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Harry Kelly located?

Harry Kelly practices at 236 Main Street, Mammoth Springs, AR 72554. The listed phone number is (870) 625-3228.

What is Harry Kelly's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Harry Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Harry Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.