NPI 1306004577 · live from the CMS NPI Registry
Matthew Scott Kelly, M.D., M.P.H.
Pediatrics, Pediatric Infectious Diseases in Little Rock, AR. National Provider Identifier 1306004577, active.
NPI record
| NPI | 1306004577 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Infectious Diseases 2080P0208X |
| Practice location | 1 Childrens Way # 512-1, Little Rock, AR 72202 |
| Practice phone | 501-364-1100 |
| Mailing address | 1 Childrens Way # 653, Little Rock, AR 72202 |
| Enumerated | May 23, 2008 |
| Last updated | January 16, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 442544 (PA) |
| Pediatrics | 208000000X | 232262 (MA) |
| Pediatrics, Pediatric Infectious Diseases primary | 2080P0208X | E-18631 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.