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

John B Kelly, MD

Individual provider Neurology Physician · NPI 1407855315

John B Kelly, MD is a Neurology in Wasilla, Alaska. Graduated from University of Colorado School of Medicine, Aurora in 1986, 40 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Alaska.

Years since qualifying
40
Trained at
University of Colorado School of Medicine, Aurora
Licensed in
AK
In the registry since
2005
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

3505 E Meridian Park Loop Ste 100
Wasilla, AK 99654-7242
Phone: (907) 416-6594
Fax: (800) 654-6250
Show map & directions

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

Additional practice locations (2)

  • 4000 Old Seward Hwy Ste 301, Anchorage, AK 99503-6068 — (907) 416-6594
  • 1405 Kellum St Ste 100, Fairbanks, AK 99701-4189 — (907) 416-6594

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 203883 (AK)

Record details

NPI number1407855315
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2005
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing address3505 E Meridian Park Loop Ste 100, Wasilla, AK 99654-7242

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduated 1986 (40 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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