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

Mallory Kelly, MD

Individual provider Internal Medicine Physician · NPI 1174938690

Mallory Kelly, MD is an Internal Medicine Physician in Washington, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
Specialties on file
2
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

1113 Dixon St
Washington, IL 61571-9004
Phone: (217) 502-2672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125.064460 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 125.064460 (IL)

Record details

NPI number1174938690
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2014
Last updated in NPPESJune 23, 2014
Mailing address1113 Dixon St, Washington, IL 61571-9004

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