What is Jeffery Kelley's NPI number?

Jeffery Kelley's National Provider Identifier (NPI) is 1104406990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jeffery Kelley's specialty?

Jeffery Kelley is listed in the NPPES registry with a primary specialty of Nurse's Aide (Nursing Service Related Providers).

Where is Jeffery Kelley located?

Jeffery Kelley's practice location on file with NPPES is 205 Ashley Pl Apt 2, Edwardsville, IL 62025-3541.

What is Jeffery Kelley's phone number?

The practice phone number listed in the NPPES registry for Jeffery Kelley is (618) 910-0942.

Is Jeffery Kelley's NPI active?

Yes — Jeffery Kelley's NPI (1104406990) is active in the NPPES registry as of the last update on 2021-04-14.

IndividualActive

Jeffery Kelley

NPI 1104406990 · Nurse's Aide · Edwardsville, IL

Jeffery Kelley is a Nurse's Aide provider in Edwardsville, IL (NPI 1104406990).

Provider details

NPI number: 1104406990
Entity type: Individual
Primary specialty: Nurse's AideNursing Service Related Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Nurse's AidePrimary376K00000X
Nursing Service Related Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

205 Ashley Pl Apt 2

Edwardsville, IL 62025-3541

Phone: (618) 910-0942

Street-level locationGet directions

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Mailing address