NPI

Benjamin Kenneth Kelly

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
LAT, ATC, ITAT
Type
Individual
Enumeration date
2021-07-19
Last updated
2024-05-30

Specialties

Licenses

License WV
AT001691
License MD
A0000671

Location

Practice location
86 Pride Pkwy
City
Accident MD
Postal code
21520-2006
Phone
(301) 746-8668

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

Check this NPI on the exclusion page

OIG exclusion search

Nearby

Other NPIs in Accident, MD. 17 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

Update a record in NPPES

Run it in Rivvi

Is this you?

Check your listing for a stale address, wrong specialty or deactivation. Free.

Check my listing

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Try it on your own data today.

Free to start. Most teams are using it the same day.