Kelli Dulaney

Primary specialty

PharmacistTaxonomy code 183500000X

License

62418 Issued in TX

Practice address

100 S Ryan Dr
Red Oak, TX 75154-4214

Phone

(972) 515-2066

NPI assigned

Nov 2, 2020

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2020.

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1093316622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S RYAN DR",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S RYAN DR",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544214",
            "telephone_number": "972-515-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULANEY",
        "first_name": "KELLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "40368",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "14354",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "62418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DFW Rheumatology and Wellness PLLC
• Daniel H Diaz, D.C.
• Tiffany DO
• Brandon Donald
• Pamela Louise Dudley
• Denise Durfield
• Grace Edmond, M.S., CCC-SLP
• Ellis County Surgery and Endoscopy Center PLLC
• Erika L Epps, PSYD
• Li-Lenn Noni Espinoza, PTA

• All providers in Red Oak, TX
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.