MR. JOHN PAUL KELLEY JR. PA
NPI 1881259653
Physician Assistant in Odenton, MD

Active since May 07, 2019
1130 ANNAPOLIS RD STE 100, ODENTON, MD 21113(410) 672-2255 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Paul Kelley Jr. Pa NPPES

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

MR. JOHN PAUL KELLEY JR. PA (NPI 1881259653) is an individual physician assistant in Odenton, Maryland, licensed in Maryland (C0007181) and active in the NPI registry since May 2019. He maintains a secondary practice location in Leonardtown.

NPPES Registry Identity

NPI1881259653
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN PAUL KELLEY JR.Credential: PA
Location Address1130 ANNAPOLIS RD STE 100Odenton, MD 21113-1622
Mailing Address23555 Brown RdHollywood, MD 20636-3232 · (240) 434-6104
Sole ProprietorNo
Enumeration DateMay 7, 2019
NPI 1881259653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MD · C0007181
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1130 ANNAPOLIS RD STE 100, Odenton, MD 21113

Secondary Practice Location 1

Location 141680 Miss Bessie Dr Ste 303Leonardtown, MD 20650-2965 · Phone (410) 672-2255

Other Providers at the Same Location NPPES 6

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

Physical Medicine & Rehabilitation
1130 ANNAPOLIS RD STE 100
ODENTON, MD 21113
Physician Assistant
1130 ANNAPOLIS RD STE 100
ODENTON, MD 21113
Physician Assistant
1130 ANNAPOLIS RD STE 100
ODENTON, MD 21113
Physician Assistant
1130 ANNAPOLIS RD STE 100
ODENTON, MD 21113
Physician Assistant
1130 ANNAPOLIS RD STE 100
ODENTON, MD 21113
Anesthesiology
1130 ANNAPOLIS RD STE 100
ODENTON, MD 21113

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 John Kelley's NPI number?

The NPI number for John Kelley is 1881259653. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is John Kelley located?

John Kelley practices at 1130 Annapolis Rd Ste 100, Odenton, MD 21113. The listed phone number is (410) 672-2255.

What is John Kelley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for John Kelley was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.