Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407562507 Individual Practitioner Male Practitioner

Jack Kelly

Contractor - Home Modifications • Montrose, CO

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jack Kelly is a registered healthcare professional specializing in Contractor - Home Modifications in Montrose, CO. Official NPI practice address is registered at 68084 LASALLE RD.

Practice Location & Contact Primary Location

Practice Address

68084 Lasalle Rd

Montrose, CO 814017502

Telephone 7206486040
Associated Practice Facility / Clinic
🏢 Advanced Properties Llc Facility NPI 1588360689

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor - Home Modifications in Montrose, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Montrose, CO (86 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-23
Contractor - Home Modifications Primary Specialty

NUCC Taxonomy Code: 171WH0202X

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 23, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2023

Registered at 68084 LASALLE RD, MONTROSE, CO 814017502 (Tel: 7206486040)

📍
Updated Business Mailing Address January 23, 2023

Registered at 68084 LASALLE RD, MONTROSE, CO 814017502 (Tel: 7206486040)

👤
Provider Name / Credentials Updated January 23, 2023

Recorded as JACK KELLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2023

Contractor

🟢
Initial NPI Registration & Enumeration January 23, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407562507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2023
Last Update: January 23, 2023
Sole Proprietor: No

Mailing Address

68084 Lasalle Rd

Montrose, CO 814017502

Phone: 7206486040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.