Kerry O'Leary

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.010140 Issued in IL

Practice address

2907 Williamson County Pkwy
Marion, IL 62959-5256

Phone

(618) 998-9894

Fax

(618) 998-9993

NPI assigned

Feb 3, 2011

Sex

Female

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": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1194021451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 LAKESIDE DR",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622743119",
            "telephone_number": "618-357-3378",
            "fax_number": "618-998-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 WILLIAMSON COUNTY PKWY",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595256",
            "telephone_number": "618-998-9894",
            "fax_number": "618-998-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "KERRY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.010140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele O'Boyle, MA, QMHP
• Gerry Lee O'Brien, RRT
• Christine O'Dell
• Amy Jo O'Keefe, PHARM.D.
• John Freeman O'Keefe, DDS
• Occupational Performance and Rehab, PC
• Phillip Ray Odle, MSN, RN-BC
• Ashley L Odum, LPN
• Connie Marie Odum
• Joshua Taylor Odum, DPT

• Speech-Language Pathologist in Marion, IL
• Providers in Marion, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.