KEVIN J. KELLY MD, PC
NPI 1689868697
Internal Medicine in Portage, MI

Active since September 02, 2007
8145 VALLEYWOOD LN STE B, PORTAGE, MI 49024(269) 324-9162(269) 375-6079 Get Directions Write a Review

NPPES record last updated: September 2, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin J. Kelly Md, Pc NPPES

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

KEVIN J. KELLY MD, PC (NPI 1689868697) is a healthcare organization registered as an internal medicine in Portage, Michigan and active in the NPI registry since September 2007. The organization lists Kevin J Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1689868697
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKEVIN J. KELLY MD, PC
Location Address8145 VALLEYWOOD LN STE BPortage, MI 49024-5296
Mailing Address8145 Valleywood Ln Ste BPortage, MI 49024-5296 · (269) 324-9162 · Fax (269) 375-6079
Fax(269) 375-6079
Organization SubpartNo
Authorized OfficialKevin J KellyOwner · (269) 324-9162
Enumeration DateSeptember 2, 2007
NPI 1689868697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 039833
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8145 VALLEYWOOD LN STE B, Portage, MI 49024

Other Identifiers 3

Medicare PIN0N23170MI
Medicaid4282408MI
Other0390022MI · Bcbsm

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
8145 VALLEYWOOD LN STE B
PORTAGE, MI 49024
Counselor (Mental Health)
8145 VALLEYWOOD LN STE B
PORTAGE, MI 49024
Social Worker (Clinical)
8145 VALLEYWOOD LN STE B
PORTAGE, MI 49024

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 J. Kelly MD, PC's NPI number?

The NPI number for Kevin J. Kelly MD, PC is 1689868697. It was assigned to this organization in the NPPES registry on September 2, 2007.

Where is Kevin J. Kelly MD, PC located?

Kevin J. Kelly MD, PC is located at 8145 Valleywood Ln Ste B, Portage, MI 49024. The listed phone number is (269) 324-9162.

What is Kevin J. Kelly MD, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kevin J. Kelly MD, PC was last updated on September 2, 2007. 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.