Kelly Cove Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2705097760 Issued in VA

Legal business name

KELLY COVE INC

Practice address

3110 Mount Vernon Ave Apt 1206
Alexandria, VA 22305-2654

Phone

(703) 801-0773

NPI assigned

Sep 25, 2017

Organization subpart

No

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

Authorized official

Name

Joel Kelly

Title

President

Phone

(703) 801-0773

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144739988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 MOUNT VERNON AVE APT 1206",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223052654",
            "telephone_number": "703-801-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 MOUNT VERNON AVE APT 1206",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223052654",
            "telephone_number": "703-801-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY COVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-801-0773"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "2705097760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Finnegan Keller
• Leslie Keller
• Amanda Kelley, OTR/L
• Katie Ann Kelley, AU.D.
• Lydia Kelley, RBT
• Caitlin Kelly, CPNP
• Claire Kelly, OTR/L
• Kathleen P Kelly, MD
• Lisa Kelly, PT
• Tina Vu Kelly, OD

• Durable Medical Equipment & Medical Supplies in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.