Dr. Charles Jude Kelly
MD | Pediatrics | Male
Dr. Charles Jude Kelly, MD is a Edgewood, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Charles Jude Kelly is
20 Medical Village Dr, Suite 102, Edgewood, Kentucky - 41017-5401. He can be contacted on phone at
859-341-1011 and fax number 859-341-7198.
Dr. Charles Jude Kelly is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Charles Jude Kelly is
1972576098 which was assigned by NPPES on 09 Feb, 2006 and it was last updated on 08 Jul, 2007.
Dr. Charles Jude Kelly license number is
34229 for Pediatrics (208000000X) in Kentucky.
Dr. Charles Jude Kelly is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Charles Jude Kelly basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Charles Jude Kelly |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Charles Jude Kelly address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 20 Medical Village Dr, Suite 102
Edgewood, KY, 41017-5401
United States |
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| Phone Number : | 859-341-1011 |
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| Fax Number : | 859-341-7198 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1972576098 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Feb, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Charles Jude Kelly are as mentioned. Primary taxonomy code for Dr. Charles Jude Kelly, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 35 07 8628 | OH |
| 208000000X | Pediatrics | Yes | 34229 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Charles Jude Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1202784 | Other | | UNITED HEALTH CARE OF OHI |
| 000000175988 | Other | | ANTHEM |
| 7499170002 | Other | | CIGNA |
| 64013543 | MEDICAID | KY | |
| 2501317 | Other | | AETNA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 20 Medical Village Dr, Suite 102
Edgewood, KY, 41017-5401
United States |
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| Phone Number : | 859-341-1011 |
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| Fax Number : | 859-341-7198 |
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Business Location:
Patients can refer following map for directions to
Dr. Charles Jude Kelly practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.