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

Matthew William Kelly, DO

Individual provider Family Medicine Physician · NPI 1699032060

Matthew William Kelly, DO is a Family Practice in Roanoke, Virginia. Graduated from West Virginia School of Osteopathic Medicine in 2012, 14 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
14
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
VA
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4910 Valley View Blvd NW
Roanoke, VA 24012-2040
Phone: (540) 265-4210
Fax: (540) 265-4219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102203766 (VA)

Record details

NPI number1699032060
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 23, 2012
Last updated in NPPESJanuary 24, 2022
Mailing address2000 Health Park Dr Fl Hp2, Brentwood, TN 37027-4692

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2012 (14 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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