Kelly Imaging Group, LLC

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

46001 Issued in OH

Legal business name

KELLY IMAGING GROUP, LLC

Practice address

112 Cosgrove LN
Taylors, SC 29687-4106

Phone

(864) 248-4080

NPI assigned

Apr 28, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Don Gardner

Title

Co-Founder, Vice President

Phone

(864) 248-4080

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309737600000",
    "number": "1033400759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26565",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296161565",
            "telephone_number": "864-248-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 COSGROVE LN",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296874106",
            "telephone_number": "864-248-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY IMAGING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-07-04",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CO-FOUNDER, VICE PRESIDENT",
        "authorized_official_telephone_number": "864-248-4080"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "OH",
            "license": "46001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Ann Jones
• Teleah J Jones
• Donna Metta Jordan, LPC
• Sonia Atu Karamchandani, D.M.D
• Jeffrey Don Kelley, DMD
• Katharine Kilpatrick
• Latrese D. Kinney, LMFT-A
• Michal Lynn Klein, PHARMD
• Janette Klepacki
• Jordan Kocian

• Sonography Radiologic Technologist in Taylors, SC
• Providers in Taylors, SC by specialty
• Sonography Radiologic Technologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.