Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN B KELLY, MD
ActiveJOHN B KELLY, MD is a Neurology healthcare provider located in WASILLA, Alaska. NPI 1407855315 is currently active in the NPPES registry. Verify at CMS.
Neurology · WASILLA, AK
Registration Details
- NPI Number
- 1407855315
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2005 (21.083238808411 yrs)
- Last Updated
- Feb 9, 2026
- License
-
203883 (AK)
Practice Information
- Address
-
3505 E MERIDIAN PARK LOOP STE 100WASILLA, AK, 996547242Browse AK providers · Browse ZIP 99654
- Phone
- 9074166594
- Fax
- 8006546250
- Primary Specialty
-
Neurology
2084N0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.