MRS. KAY PONTIUS KELLY MD
NPI 1427079961
Technician - Attendant Care Provider in Wheaton, IL

Active since July 21, 2006
25451 MENOMINI CT, WHEATON, IL 60189(630) 254-5352(630) 810-1037 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Kay Pontius Kelly Md NPPES

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

MRS. KAY PONTIUS KELLY MD (NPI 1427079961) is an individual attendant care provider provider in Wheaton, Illinois and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1427079961
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameMRS. KAY PONTIUS KELLYCredential: MD
Location Address25451 MENOMINI CTWheaton, IL 60189
Mailing Address25451 Menomini CtWheaton, IL 60189 · (630) 254-5352 · Fax (630) 810-1037
Fax(630) 810-1037
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
NPI 1427079961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

Also ListedPediatricsTaxonomy 208000000X · License 036-056877 (IL)
25451 MENOMINI CT, Wheaton, IL 60189

Other Identifiers 1

Medicaid036-056877IL

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427079961, enumerated as an "individual" on July 21, 2006.

The provider is located at 25451 MENOMINI CT WHEATON, IL 60189 and the phone number is (630) 254-5352.

Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.