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KEVIN J KELLY MD
NPI 1982606315
Internal Medicine - Cardiovascular Disease in Fort Wayne, IN

Active since August 15, 2005
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(260) 266-5700(260) 266-5920 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin J Kelly Md NPPES

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

KEVIN J KELLY MD (NPI 1982606315) is an individual cardiovascular disease provider in Fort Wayne, Indiana, licensed in Indiana (01032406A) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1982606315
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameKEVIN J KELLYCredential: MD
Location Address11108 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1730
Mailing Address3926 New Vision Dr, Suite 1Fort Wayne, IN 46845-1712 · (260) 373-9705 · Fax (260) 373-9705
Phone(260) 266-5700
Fax(260) 266-5920
Sole ProprietorNo
Enumeration DateAugust 15, 2005
Last NPPES UpdateNovember 29, 2016
✔ NPI 1982606315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IN · 01032406A
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
11108 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845
Open in Google Maps ↗

Other Identifiers 16

Other000000641087IN · Anthem
Medicare PINKE0643399OH
Medicaid0522401OH
Medicare PINKE0643398OH
Medicaid100360760IN
Medicare PIN060071114IN
Medicare PIN193590JIN
Medicare PIN4284861OH
Medicare PIN060070567IN
Medicare PIN264380GIN
OtherP00846125OH · Medicare Railroad
OtherP00786817IN · R.r. Medicare
Other060070567IN · Rr Medicare
Other060071114OH · Rr Medicare
Other06199OH · Medicaid Ohio Paramont
Medicare UPIND95309IN

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.

SHANNON L DECKER
Nurse Practitioner
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
DAVID P LLOYD MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11108 PARKVIEW CIRCLE DR, SUITE 5100
FORT WAYNE, IN 46845
Allen County (260) 266-2800
HOLLACE D CHASTAIN MD
Internal Medicine (Interventional Cardiology)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
DR. MARYAM NOURELDIN PHARMD, BCPS
Pharmacist (Ambulatory Care)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-4480
VAISHALI A PATEL
Nurse Practitioner
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
WILLIAM W WILSON MD
Internal Medicine (Cardiovascular Disease)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
MICHAEL J MIRRO MD
Internal Medicine (Cardiovascular Disease)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
DR. NOAH BUDI PHARMD.
Pharmacist (Ambulatory Care)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-4480

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 1982606315. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Kevin Kelly located?

Kevin Kelly practices at 11108 Parkview Circle Dr, Fort Wayne, IN 46845. The listed phone number is (260) 266-5700.

What is Kevin Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Kevin Kelly was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.