Kelly Fellers

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.324812 Issued in OH

Practice address

2201 Patterson Rd
Dayton, OH 45420-3060

Phone

(937) 416-4669

NPI assigned

Aug 29, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1184458325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 PATTERSON RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454203060",
            "telephone_number": "937-416-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 PATTERSON RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454203060",
            "telephone_number": "937-416-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLERS",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.324812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Michele Feldman, MD
• Mary S Feldman, DO
• Michael Ian Feldman, MD
• Savanna J Feldner, B.A.
• Sabreah Felfoldi
• Britany Felton, LPN
• Derrick Jerome Felton
• Rebecca Felts, MSW, LISW
• Haley Felty
• Carla Ann Feltz

• Registered Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.