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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KEVIN JOSEPH KELLY MD
NPI 1417920554
Pediatrics in Edgewood, KY

Active since February 09, 2006
20 MEDICAL VILLAGE DR, SUITE 102, EDGEWOOD, KY 41017(859) 341-1011(859) 341-7198 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kevin Joseph Kelly Md NPPES

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

DR. KEVIN JOSEPH KELLY MD (NPI 1417920554) is an individual pediatrics provider in Edgewood, Kentucky, licensed in Kentucky (26462) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1417920554
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KEVIN JOSEPH KELLYCredential: MD
Location Address20 MEDICAL VILLAGE DR, SUITE 102Edgewood, KY 41017-5401
Mailing Address20 Medical Village Dr, Suite 102Edgewood, KY 41017-5401 · (859) 341-1011 · Fax (859) 341-7198
Phone(859) 341-1011
Fax(859) 341-7198
Sole ProprietorNo
Enumeration DateFebruary 9, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417920554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in KY · 26462✔ Licensed in OH · 35055413
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

20 MEDICAL VILLAGE DR, Edgewood, KY 41017
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Other Identifiers 4

Other000000033787Anthem
Medicaid64264625KY
Other1220585OH · United Health Care
Other0637293Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

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.

REMKE MEDICAL LLC
Durable Medical Equipment & Medical Supplies
20 MEDICAL VILLAGE DR, SUITE 103
EDGEWOOD, KY 41017
Kenton County (859) 341-3456
RAYMOND JAMES SULLIVAN MD
Anesthesiology
20 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS. PSC
EDGEWOOD, KY 41017
Kenton County (859) 341-7246
MICHAEL SMITH RN
Nurse Anesthetist, Certified Registered
20 MEDICAL VILLAGE DR, SUITE 258
EDGEWOOD, KY 41017
Kenton County (859) 301-2211
THE CRANLEY SURGICAL ASSOC,INC.
Surgery
20 MEDICAL VILLAGE DR, SUITE 394
EDGEWOOD, KY 41017
Kenton County (859) 578-0442
DR. JERRY JOSEPH LIERL M.D.
Internal Medicine (Cardiovascular Disease)
20 MEDICAL VILLAGE DR, STE. 177
EDGEWOOD, KY 41017
Kenton County (859) 331-3353
PATIENT CHOICE CARDIOLOGY, P.S.C.
Internal Medicine (Interventional Cardiology)
20 MEDICAL VILLAGE DR, STE. 177
EDGEWOOD, KY 41017
Kenton County (859) 331-3353
INFECTIOUS DISEASE CONSULTANTS INC
Internal Medicine (Infectious Disease)
20 MEDICAL VILLAGE DR, SUITE 355
EDGEWOOD, KY 41017
Kenton County (859) 344-1512
DR. ALAN I COHEN MD
Internal Medicine (Infectious Disease)
20 MEDICAL VILLAGE DR, SUITE 355
EDGEWOOD, KY 41017
Kenton County (859) 344-1512

Frequently Asked Questions

What is Kevin Kelly's NPI number?

The NPI number assigned to this healthcare provider is 1417920554, enumerated as an "individual" on February 09, 2006.

Where is the provider located?

The provider is located at 20 MEDICAL VILLAGE DR SUITE 102 EDGEWOOD, KY 41017 and the phone number is (859) 341-1011.

What is the provider's specialty?

Pediatrics with taxonomy code 208000000X.

What insurance does Kevin Kelly accept?

The provider might be accepting Accepts: MedMutual, Anthem Blue Cross, Medicare, Medicaid. Please consult your insurance carrier or call the provider to verify.