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

Lawrence R Kelly, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1114058781

Lawrence R Kelly, MD is an Interventional Radiology in Louisville, Kentucky. Graduated from University of Louisville School of Medicine in 2002, 24 years ago. Practices with Diagnostic Imaging Alliance of Louisville PSC, a 27-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
24
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2007
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

3906 S Dupont Sq
Louisville, KY 40207-4647
Phone: (812) 282-3899
Fax: (812) 282-4172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 42926 (KY)

Record details

NPI number1114058781
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 8, 2007
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Diagnostic Imaging Alliance Of Louisville Psc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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