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

Individual provider Anesthesiology Physician · NPI 1174840490

Dr. Kelly Michael Hines, MD is an Anesthesiology in Louisville, Kentucky. Qualified in 2010, 16 years ago. Practices with Anesthesiology Consultants Enterprises PLLC, a 117-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
16
Licensed in
KY
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

530 S Jackson St Rm C2A01
Louisville, KY 40202-1675
Phone: (502) 852-1735
Fax: (502) 852-3762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 47147 (KY)

Record details

NPI number1174840490
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2010
Last updated in NPPESMarch 20, 2015

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Anesthesiology Consultants Enterprises Pllc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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