Jacob Patrick Kelly
Internist Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
3841 Piper St Ste T100
Anchorage
, Alaska 99508-4674
Jacob Patrick Kelly
Internist Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
3841 Piper St Ste T100
Anchorage
, Alaska 99508-4674
(907) 561-3211
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About
Features
Specialties
- Internist
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Jacob Patrick Kelly
- 3841 Piper St Suite T100
- Anchorage, AK
- Zip : 99508
- Phone : (907) 561-3211
Second Address
- Jacob Patrick Kelly
- 3841 Piper St Ste T100
- Anchorage, AK
- Zip : 99508-4674
- Phone : (907) 561-3211
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FAQs
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In what state does Jacob Patrick Kelly practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 2012-01069 | NC |
| N | 111NI0900X | Internist | 2012-01069 | NC |
| N | 207R00000X | Internist | N5767 | TX |
| N | 111NI0900X | Internist | N5767 | TX |
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 119045 | AK |
| N | 207RC0000X | Internist - Cardiovascular Disease | 119045 | AK |
National Provider Identifier
| NPI | 1851551949 |
|---|---|
| Provider Name | Jacob Patrick Kelly |
| First Address | Anchorage, AK 99508 |
| Second Address | Anchorage, AK 99508-4674 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2008 |
| Last Update Date | 12/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1668479 | (05) | AK |
| 1851551949 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.