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Jack Kelley, MD
NPI 1710956065 · Surgery Physician · Lafayette, IN
Jack Kelley, MD is a Surgery Physician provider in Lafayette, IN (NPI 1710956065).
Provider details
- NPI number
- 1710956065
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01022437A (IN)
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
1500 Salem St
Lafayette, IN 47904-2164
Phone: (765) 448-8000
Fax: (765) 448-8337
Street-level locationGet directions
Mailing address
Po Box 5545
Lafayette, IN 47903-5545
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2012-07-23
Frequently asked questions
- What is Jack Kelley's NPI number?
- Jack Kelley's National Provider Identifier (NPI) is 1710956065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Kelley's specialty?
- Jack Kelley is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Kelley located?
- Jack Kelley's practice location on file with NPPES is 1500 Salem St, Lafayette, IN 47904-2164.
- What is Jack Kelley's phone number?
- The practice phone number listed in the NPPES registry for Jack Kelley is (765) 448-8000.
- Is Jack Kelley's NPI active?
- Yes — Jack Kelley's NPI (1710956065) is active in the NPPES registry as of the last update on 2012-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.