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Contact Information

JOHN P KELLY, MD
1535 MEDICAL PKWY
STE B
CARSON CITY, NV89703-4654
 Phone: 775-445-7960
 Fax: 775-883-3395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

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

NPI # 1477512234
Status Active
Credentials MD
Entity Individual
Enumeration date 03/21/2006
Last updated 09/18/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 6376
  • NV License # NV6376
  • NV Medicaid 002013294
  • NV Other 6376 MEDICAL LICENSE
Hospital affiliation(s)
  • BARTON MEMORIAL HOSPITAL - (Acute Care)
    2170 SOUTH AVENUE
    SOUTH LAKE TAHOE, CA 96150
  • CARSON TAHOE REGIONAL MEDICAL CENTER - (Acute Care)
    1600 MEDICAL PARKWAY
    CARSON CITY, NV 89703
  • CARSON VALLEY MEDICAL CENTER - (Critical Access)
    1107 HIGHWAY 395
    GARDNERVILLE, NV 89410
  • NORTHERN INYO HOSPITAL - (Critical Access)
    150 PIONEER LANE
    BISHOP, CA 93514
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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