IndividualActive
John Kelly, MD
NPI 1407855315 · Neurology Physician · Wasilla, AK
Provider details
- NPI number
- 1407855315
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 203883 (AK)
Practice location
3505 E Meridian Park Loop Ste 100
Wasilla, AK 99654-7242
Phone: (907) 416-6594
Fax: (800) 654-6250
Mailing address
3505 E Meridian Park Loop Ste 100
Wasilla, AK 99654-7242
Registry dates
- Enumerated
- 2005-07-21
- Last updated
- 2026-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.