# JOHN PAUL KELLY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134283864
- **Authorized official:** DR. JOHN PAUL KELLY M.D. (OWNER)
- **Authorized official phone:** (775) 883-5955

## Contact information

- **Practice address:** 1535 MEDICAL PARKWAY, SUITE B, CARSON CITY, NV 89703
- **Practice address phone:** (775) 883-5955
- **Practice address fax:** (775) 883-5992
- **Mailing address:** PO BOX 29872, DEPT 29, PHOENIX, AZ 85038-9872
- **Mailing address phone:** (775) 883-5955
- **Mailing address fax:** (775) 883-5992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 1296 | NV | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 11/01/2007