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Jacob Patrick Kelly

Internist Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist

3841 Piper St Ste T100
Anchorage , Alaska 99508-4674

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Advanced Heart Failure and Transplant Cardiologist
  • Internist - Cardiovascular Disease

Languages spoken

  • English

Location

3841 Piper St Ste T100 Anchorage , Alaska 99508-4674

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


Where did Jacob Patrick Kelly attend graduate school?

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Where did Jacob Patrick Kelly do his residency?

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Where did Jacob Patrick Kelly do his fellowship?

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Is Jacob Patrick Kelly board certified?

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What type of doctor is Jacob Patrick Kelly

Advanced Heart Failure and Transplant Cardiologist

In what state does Jacob Patrick Kelly practice in?

Alaska

Where is Jacob Patrick Kelly ’s practice located?

3841 Piper St Ste T100 , Anchorage, Alaska, 99508-4674

What is Jacob Patrick Kelly ’s gender?

Male

Is Jacob Patrick Kelly a sole practitioner?

No

Is Jacob Patrick Kelly accepting new patients?

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What languages does Jacob Patrick Kelly speak?

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Does Jacob Patrick Kelly accept insurance?

Yes, Jacob Patrick Kelly accepts insurance

Does Jacob Patrick Kelly offers telemedicine?

Jacob Patrick Kelly has not indicated if he offers telemedicine

What is Jacob Patrick Kelly ’s professional license number?

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What is Jacob Patrick Kelly ’s NPI number?

1851551949

Does Jacob Patrick Kelly have any license restrictions?

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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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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