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

Lawrence Bennett Kelly, MD

Individual provider Specialist · NPI 1629031901

Lawrence Bennett Kelly, MD is a Psychiatry in South Charleston, West Virginia. Graduated from West Virginia University School of Medicine in 1979, 47 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
47
Trained at
West Virginia University School of Medicine
Licensed in
WV
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

4825 Maccorkle Ave SW Ste C
South Charleston, WV 25309-1365
Phone: (304) 343-1022
Fax: (304) 343-1025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 12306 (WV)

Record details

NPI number1629031901
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2006
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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