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JEFFERY S KELLEY MD NPI 1689933467


NPI Information

NPI: 1689933467
Provider Name: JEFFERY S KELLEY MD
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
14088 ALABAMA ST
JAY, FL
ZIP 32565
Phone: (850) 675-4546
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JEFFERY S KELLEY MD is an internal medicine in Jay, FL. The provider is 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. JEFFERY S KELLEY MD NPI is 1689933467. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14088 ALABAMA ST
JAY, FL
ZIP 32565-036
Phone: (850) 675-4546
Fax: (850) 675-4548

The provider's authorized official is Jeffery Scott Kelley .
The authorized official title is Owner/president and has the following contact phone number (850) 675-4546.

The enumeration date for this NPI number is 5/14/2012 and was last updated on 5/14/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineME81689FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1591032244OTHERCHAMPVA
21203400OTHERCOVENTRY
37032394OTHERAETNA
4P00017883OTHERRAILROAD MEDICARE
5261059100MEDICAIDFLORIDA
62239990OTHERUNITED HEALTHCARE
7591032244OTHERTRICARE
8009952450OTHERALABAMAALACAID
9H38550MEDICARE UPINFLORIDA
1005101OTHERBLUE CROSS AND BLUE SHIELD OF FLORIDA
11A611OTHERWELLCARE
1259037346OTHERBLUE CROSS AND BLUE SHIELD OF ALABAMA
134071564OTHERCIGNA
14E5615MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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