KELLY BURGESS M.D.
NPI 1568629418
Clinic/Center - Primary Care in Georgetown, KY

Active since May 19, 2008
1140 LEXINGTON RD, SUITE 200, GEORGETOWN, KY 40324(502) 863-5150(502) 863-4487 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Burgess M.d. NPPES

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

KELLY BURGESS M.D. (NPI 1568629418) is a healthcare organization registered as a primary care in Georgetown, Kentucky and active in the NPI registry since May 2008. The organization lists Kelly R Burgess, Doctor, as its authorized official.

NPPES Registry Identity

NPI1568629418
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKELLY BURGESS M.D.
Location Address1140 LEXINGTON RD, SUITE 200Georgetown, KY 40324-9330
Mailing Address1140 Lexington Rd, Suite 200Georgetown, KY 40324-9330 · (502) 863-5150 · Fax (502) 863-4487
Fax(502) 863-4487
Organization SubpartNo
Authorized OfficialKelly R BurgessDoctor · (502) 863-5150
Enumeration DateMay 19, 2008
Last NPPES UpdateJune 18, 2008
NPI 1568629418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1140 LEXINGTON RD, Georgetown, KY 40324

Other Identifiers 4

Medicare PIN0974001KY
Other000000368877KY · Bcbs
OtherG63969KY · Upin
Medicaid64017783KY

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.

Audiologist
1140 LEXINGTON RD, SUITE 102
GEORGETOWN, KY 40324
Internal Medicine (Medical Oncology)
1140 LEXINGTON RD, SUITE 202
GEORGETOWN, KY 40324
Student in an Organized Health Care Education/Training Program
1140 LEXINGTON RD
GEORGETOWN, KY 40324
Anesthesiology
1140 LEXINGTON RD
GEORGETOWN, KY 40324
Nurse Anesthetist, Certified Registered
1140 LEXINGTON RD
GEORGETOWN, KY 40324
Dietitian, Registered
1140 LEXINGTON RD
GEORGETOWN, KY 40324
Nurse Anesthetist, Certified Registered
1140 LEXINGTON RD
GEORGETOWN, KY 40324
Medicare Defined Swing Bed Unit
1140 LEXINGTON RD
GEORGETOWN, KY 40324

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 Kelly Burgess M.D.'s NPI number?

The NPI number for Kelly Burgess M.D. is 1568629418. It was assigned to this organization in the NPPES registry on May 19, 2008.

Where is Kelly Burgess M.D. located?

Kelly Burgess M.D. is located at 1140 Lexington Rd Suite 200, Georgetown, KY 40324. The listed phone number is (502) 863-5150.

What is Kelly Burgess M.D.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Kelly Burgess M.D. was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.