KELLY R. BIRCHENOUGH D.O. – NPI #1710278957
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

KELLY BIRCHENOUGH is a physician located in WATERTOWN, NY. NPPES has assigned the NPI number 1710278957 to KELLY BIRCHENOUGH on April 21, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name KELLY ROSE FERGUSON. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was last updated on Oct 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY BIRCHENOUGH below.

NPI Profile for
KELLY R. BIRCHENOUGH

NPI Number
1710278957
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELLY R. BIRCHENOUGH
Former Name: KELLY ROSE FERGUSON
Credentials
D.O.
Primary location
830 WASHINGTON ST
WATERTOWN, NY 13601-4099
Phone: (315) 786-4900 Fax:
1 Other location(s):
765 Liberty St
Suite 204
Meadville, PA 16335-2566
Phone: (814) 373-3093
Fax: (814) 373-3097
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Oct 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)		 PA OS017606

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE - Graduated 2007
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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