Dr Kevin Joseph Kelly, MD - Pediatrics in Edgewood, KY

Dr Kevin Joseph Kelly, MD is a Pediatrics physician based in Edgewood, Kentucky. Dr Kevin Joseph Kelly is licensed to practice in Kentucky (license number 26462) and his current practice location is 20 Medical Village Dr, Suite 102, Edgewood, Kentucky. He can be reached at his office (for appointments etc.) via phone at (859) 341-1011.

NPI number for Dr Kevin Joseph Kelly is 1417920554 and his current mailing address is 20 Medical Village Dr, Suite 102, Edgewood, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417920554.

Contact Information

Dr Kevin Joseph Kelly, MD
20 Medical Village Dr, Suite 102,
Edgewood, KY 41017-5401
(859) 341-1011
(859) 341-7198



Physician's Profile

Full NameDr Kevin Joseph Kelly
GenderMale
SpecialityPediatrics
Location20 Medical Village Dr, Edgewood, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417920554
  • Provider Enumeration Date: 02/09/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Kevin Joseph Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417920554NPI-NPPES
000000033787OtherANTHEM
64264625MedicaidKY
1220585OtherOHUNITED HEALTH CARE
0637293OtherAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 26462 (Kentucky)Primary
208000000XPediatrics 35055413 (Ohio)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kevin Joseph Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kevin Joseph Kelly, MD
20 Medical Village Dr, Suite 102,
Edgewood, KY 41017-5401

Ph: (859) 341-1011
Dr Kevin Joseph Kelly, MD
20 Medical Village Dr, Suite 102,
Edgewood, KY 41017-5401

Ph: (859) 341-1011

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Pediatrics Doctors in Edgewood, KY

Dr. Lisa Williams Miller, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 108 Beech Dr., Edgewood, KY 41017
Phone: 859-331-8655    Fax: 859-341-7198
Dr. Griffith Ernest Quinby Jr., MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 233 Colony Dr., Edgewood, KY 41017
Phone: 859-655-5642    
Dr. Radhika Bala Ramesh, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 20 Medical Village Dr, Ste 102, Edgewood, KY 41017
Phone: 859-341-1011    Fax: 859-341-7198
Dr. Meredith A Landorf, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 830 Thomas More Pkwy, Edgewood, KY 41017
Phone: 859-301-8686    
Jeffrey A Whitsett, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-2423    Fax: 859-301-2066
Mrs. Jamie D Mudd, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 20 Medical Village Dr., Suite 102, Edgewood, KY 41017
Phone: 859-341-1011    Fax: 859-341-7198

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