Larry Wayne Kelly Jr.
PMHNP | Nurse Practitioner - Psych/Mental Health | 4+ years Exp
1423 Peger Rd, Fairbanks
Alaska, 99709-5169
907-371-1300
Larry Wayne Kelly Jr. is a Fairbanks, Alaska based nurse practitioner with 4 years of experience in Psych/Mental Health. He completed his graduation in 2021. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Larry Wayne Kelly Jr. is 183314 for Psych/Mental Health in Alaska. His current practice location is 1423 Peger Rd, Fairbanks. Patients can reach him at 907-371-1300. Larry Wayne Kelly Jr. is PMHNP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1487319869.
Larry Wayne Kelly Jr. provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Larry Wayne Kelly Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Larry Wayne Kelly Jr. |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Male |
| Credentials: | PMHNP |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1423 Peger Rd, Fairbanks,
Alaska, 99709-5169 |
| Phone: | 907-371-1300 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9335539428 |
| Enrollment ID: | I20211203001471 |
| NPI Number: | 1487319869 |
| NPI Enumeration Date: | 01 Nov, 2021 |
| NPI Last Update On: | 01 Nov, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larry Wayne Kelly Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 183314 | Psych/Mental Health | Alaska | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Larry Wayne Kelly Jr. is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Fairbanks Community Mental Health Services Llc (6406085562) | 6 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Larry Wayne Kelly Jr.
906 Kingdom Come Dr,
Cumberland, Kentucky |
| Zip: | 40823-1547 |
| Phone Number: | 606-508-5204 |
Patients can reach Larry Wayne Kelly Jr. at
1423 Peger Rd, Fairbanks, Alaska or can
call to book an appointment on 907-371-1300.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.