Kelly-Scism LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KELLY-SCISM LLC

Doing business as

EZ In and Out

Practice address

110 Oakwood Dr Ste 200
Winston Salem, NC 27103-1958

Phone

(800) 365-7137

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edward Kelly

Title

Member

Phone

(800) 365-7137

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EZ In and Out Doing business as

Locations

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104023043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OAKWOOD DR STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031958",
            "telephone_number": "800-365-7137",
            "fax_number": "336-714-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OAKWOOD DR STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031958",
            "telephone_number": "800-365-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY-SCISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "800-365-7137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPIN",
            "identifier": "18241245",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZ In and Out",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Keller, NP
• Amber Smoot Kelley, LPC
• Phillip Antonio Kelley, PA-C
• Chloe Kellogg, CRNP
• Kathleen Hartney Kellum, LPC, NCC
• Allison Daley Kelly, NBC-HWC
• Amber Norris Kelly, RD
• Caroline Kelly, LCSW
• Christopher Thomas Kelly, M.D.
• David Lee Kelly Jr., MD

• Durable Medical Equipment & Medical Supplies in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.