Individual provider · Type 1 NPI

Kevin J. Kelly, MD

Cardiovascular Disease Physician · Fort Wayne, IN

NPI number 1982606315 Active

Practice location

11108 Parkview Circle Dr
Fort Wayne, IN 46845-1730

Fax (260) 266-5920

Mailing address

3926 New Vision Dr, Suite 1
Fort Wayne, IN 46845-1712

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X01032406A (IN)

Cardiovascular Disease Physician: 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.

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About NPI 1982606315

Kevin J. Kelly, MD's National Provider Identifier is 1982606315, issued on Aug 15, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 29, 2016.