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

Dr. Kelly Ann Mackessy, DO

Individual provider Surgery Physician · NPI 1003317421

Dr. Kelly Ann Mackessy, DO is a Surgical Oncology in Edgewood, Kentucky. Qualified in 2018, 8 years ago. Practices with St Elizabeth Medical Center, Inc, a 186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
8
Licensed in
IN, KY
In the registry since
2018
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 578-5880
Fax: (859) 578-5881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17525 Greendale Plaza Dr, Greendale, IN 47025-8299 — (812) 496-7710

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence 05917 (KY)
Surgery Physician Taxonomy 208600000X · Licence 02008207A (IN)
Surgical Oncology Physician Taxonomy 2086X0206X · Licence TP376 (KY)
Surgical Oncology Physician Taxonomy 2086X0206X · Licence 02008207A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003317421
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 21, 2018
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025
Mailing addressPo Box 636324, Cincinnati, OH 45263-6324

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySURGICAL ONCOLOGY
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Elizabeth Medical Center, Inc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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