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

Jack Leslie Kelley, MD

Individual provider Surgery Physician · NPI 1710956065

Jack Leslie Kelley, MD is a Surgery Physician in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

1500 Salem St
Lafayette, IN 47904-2164
Phone: (765) 448-8000
Fax: (765) 448-8337
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 01022437A (IN)

Record details

NPI number1710956065
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 17, 2006
Last updated in NPPESJuly 23, 2012
Mailing addressPo Box 5545, Lafayette, IN 47903-5545

Other providers in Lafayette