# KELLY J AIREY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538186382
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 19933 | NE | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 30852 | IA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 9016 | SD | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | MD-30852 | IA | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 04/04/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 07105 | BCBS | NE |
| 05 | — | 200311060A | — | KS |
| 01 | — | 247400017 | IA MEDICARE | IA |
| 05 | — | 470780857 23 | — | NE |
| 01 | — | 76-00007 | UHC | NE |
| 01 | — | P00250440 | RAILROAD MEDICARE | — |