LAWRENCE B. KELLY, MD PLLC
NPI 1295947844
Specialist in South Charleston, WV

Active since May 04, 2007
4825 MACCORKLE AVE SW STE C, SOUTH CHARLESTON, WV 25309(304) 343-1022(304) 343-1025 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lawrence B. Kelly, Md Pllc NPPES

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

LAWRENCE B. KELLY, MD PLLC (NPI 1295947844) is a healthcare organization registered as a specialist in South Charleston, West Virginia and active in the NPI registry since May 2007. The organization lists Lawrence Bennett Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1295947844
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAWRENCE B. KELLY, MD PLLC
Location Address4825 MACCORKLE AVE SW STE CSouth Charleston, WV 25309-1365
Mailing AddressPo Box 11850Charleston, WV 25339-1850 · (304) 343-1022 · Fax (304) 343-1025
Fax(304) 343-1025
Organization SubpartNo
Authorized OfficialLawrence Bennett KellyOwner · (304) 343-1022
Enumeration DateMay 4, 2007
Last NPPES UpdateFebruary 9, 2024
NPPES CertifiedFebruary 9, 2024
NPI 1295947844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
4825 MACCORKLE AVE SW STE C, South Charleston, WV 25309

Other Identifiers 3

Medicaid3810011496WV
Other001720795WV · Blue Cross Blue Shield
OtherDN1230WV · Medicare Railroad

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Specialist
4825 MACCORKLE AVE SW STE C
SOUTH CHARLESTON, WV 25309

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 Lawrence B. Kelly, MD PLLC's NPI number?

The NPI number for Lawrence B. Kelly, MD PLLC is 1295947844. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Lawrence B. Kelly, MD PLLC located?

Lawrence B. Kelly, MD PLLC is located at 4825 Maccorkle Ave SW Ste C, South Charleston, WV 25309. The listed phone number is (304) 343-1022.

What is Lawrence B. Kelly, MD PLLC's specialty?

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

What insurance does Lawrence B. Kelly, MD PLLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Lawrence B. Kelly, MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lawrence B. Kelly, MD PLLC was last updated on February 9, 2024. 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.