KATHRYN GRACE KELLY
NPI 1366334823
Student in an Organized Health Care Education/Training Program in Little Rock, AR
About Kathryn Grace Kelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN GRACE KELLY (NPI 1366334823) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathryn Grace Kelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
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 Kathryn Kelly's NPI number?
The NPI number for Kathryn Kelly is 1366334823. It was assigned to this individual provider in the NPPES registry on July 18, 2025.
Where is Kathryn Kelly located?
Kathryn Kelly practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (479) 747-8292.
What is Kathryn 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 Kathryn Kelly enrolled in Medicare?
Yes. Kathryn Kelly is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kathryn Kelly was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Kathryn Grace Kelly · NPI 1366334823
Student in an Organized Health Care Education/Training Program provider in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since July 18, 2025.
## Identity
- **NPI:** 1366334823 (Entity type: Individual)
- **Enumerated:** July 18, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4301 W MARKHAM ST, Little Rock, AR 72205-7101
- **Phone:** (479) 747-8292
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366334823) · Data from the CMS NPPES public registry.