IndividualActive
Jenny Kelty, M.D.
NPI 1205893021 · Pediatric Pulmonology Physician · Fairfax, VA
Provider details
- NPI number
- 1205893021
- Entity type
- Individual
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 0101236840 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% 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
2730 a Prosperity Avenue
Fairfax, VA 22031-2238
Phone: (703) 289-1410
Fax: (703) 289-1420
Street-level locationGet directions
Mailing address
2730 B Prosperity Avenue
Fairfax, VA 22031-2238
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2007-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.