Dr Jenny Lee Kelty, MD - Pediatrics in Fairfax, VA

Dr Jenny Lee Kelty, MD is a Pediatrics - Pediatric Pulmonology physician based in Fairfax, Virginia. Dr Jenny Lee Kelty is licensed to practice in Virginia (license number 0101236840) and her current practice location is 2730 A Prosperity Avenue, Fairfax, Virginia. She can be reached at her office (for appointments etc.) via phone at (703) 289-1410.

NPI number for Dr Jenny Lee Kelty is 1205893021 and her current mailing address is 2730 B Prosperity Avenue, Fairfax, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205893021.

Contact Information

Dr Jenny Lee Kelty, MD
2730 A Prosperity Avenue,
Fairfax, VA 22031-2238
(703) 289-1410
(703) 289-1420

Map and Direction




Physician's Profile

Full NameDr Jenny Lee Kelty
GenderFemale
SpecialityPediatrics - Pediatric Pulmonology
Location2730 A Prosperity Avenue, Fairfax, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205893021
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 12/05/2007

Medical Identifiers

Medical identifiers for Dr Jenny Lee Kelty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205893021NPI-NPPES
010103797MedicaidVA
010103789MedicaidVA
0101037762MedicaidVA
010087309MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0214XPediatrics - Pediatric Pulmonology 0101236840 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jenny Lee Kelty is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jenny Lee Kelty, MD
2730 B Prosperity Avenue,
Fairfax, VA 22031-2238

Ph: (703) 289-1400
Dr Jenny Lee Kelty, MD
2730 A Prosperity Avenue,
Fairfax, VA 22031-2238

Ph: (703) 289-1410

Reviews and Comments


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