Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: What is Kevin Kelly's NPI number?

The NPI number for Kevin Kelly is 1417920554. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Q: What is Kevin Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Kelly was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.

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: August 16, 2026.

On this page

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.

INFECTIOUS DISEASE CONSULTANTS INC

Internal Medicine (Infectious Disease)

20 MEDICAL VILLAGE DR, SUITE 355
EDGEWOOD, KY 41017

Kenton County (859) 344-1512

DAVID THOMAS TACKETT APRN

Nurse Practitioner

20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Kenton County (859) 578-5880

DEBORAH JOY BARNETT PA-C

Physician Assistant

20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Kenton County (859) 578-5880

VINCENT E ZIEGLER, PSC

Psychiatry & Neurology (Psychiatry)

20 MEDICAL VILLAGE DR, SUITE 301
EDGEWOOD, KY 41017

Kenton County (859) 341-5074

DR. MICHEAL LINK ROBINSON MD, DMD

Dentist (Oral and Maxillofacial Surgery)

20 MEDICAL VILLAGE DR, SUITE 196
EDGEWOOD, KY 41017

Kenton County (859) 331-2100

VIDYA RAJARAM DEVARAJAN M.D.

Internal Medicine (Infectious Disease)

20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Kenton County (859) 344-1512

THE CRANLEY SURGICAL ASSOC,INC.

Surgery

20 MEDICAL VILLAGE DR, SUITE 394
EDGEWOOD, KY 41017

Kenton County (859) 578-0442

ANNA MORIAH GROTE CRNA

Nurse Anesthetist, Certified Registered

20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Kenton County (859) 341-7246

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 Kevin Kelly's NPI number?

The NPI number for Kevin Kelly is 1417920554. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Kevin Kelly located?

Kevin Kelly practices at 20 Medical Village Dr Suite 102, Edgewood, KY 41017. The listed phone number is (859) 341-1011.

What is Kevin Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Kevin Kelly accept?

Health plans from MedMutual list Kevin Kelly 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 Kevin Kelly was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.