Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jody L. Kelly MD & Associates, LLC

Organization Specialist · NPI 1881610475

Jody L. Kelly MD & Associates, LLC is a Specialist in Peoria, Illinois. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5401 N Knoxville Ave Ste 300
Peoria, IL 61614-5021
Phone: (309) 692-4702
Fax: (309) 692-0746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1881610475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzette Long — Billing Coordinator · (309) 688-7082
Other names Jody L. Kelly M.D. & Associates, Llc - North
NPI enumeratedJuly 15, 2006
Last updated in NPPESDecember 20, 2011
Mailing address2901 N. Knoxville Ave., Peoria, IL 61603-1747

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