Individual provider · Type 1 NPI

Jacqueline Kelly, MD

General Practice Physician · Austin, TX

NPI number 1699774505 Active

Practice location

300 E 8th St, G-159
Austin, TX 78701-3233

Call (512) 587-0065 Map

Fax (512) 469-7854

Mailing address

904 W 30th St
Austin, TX 78705-2104

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XF6266 (TX)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1699774505

Jacqueline Kelly, MD's National Provider Identifier is 1699774505, issued on Jul 21, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Austin, TX. The record was last updated on Jul 13, 2026.