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Contact Information

JACOB P KELLY, MD
3841 PIPER ST STE T100
ANCHORAGE, AK99508-4674
 Phone: 907-561-3211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JACOB P KELLY · (Male)

NPI Number 1851551949
Status Active
Credentials MD
Entity Individual
Enumeration date 06/11/2008
Last updated 01/14/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • AK License # 119045
  • AK Medicaid 1668479
  • NC Medicaid 1851551949
Hospital affiliation(s)
  • ALASKA REGIONAL HOSPITAL - (Acute Care)
    2801 DEBARR ROAD
    ANCHORAGE, AK 99508
  • CENTRAL PENINSULA GENERAL HOSPITAL - (Acute Care)
    250 HOSPITAL PLACE
    SOLDOTNA, AK 99669
  • PROVIDENCE ALASKA MEDICAL CENTER - (Acute Care)
    BOX 196604
    ANCHORAGE, AK 99508
  • PROVIDENCE SEWARD HOSPITAL - (Critical Access)
    417 FIRST AVENUE, PO BOX 365
    SEWARD, AK 99664
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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