Kelner Specialty Infusion Services, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

KELNER SPECIALTY INFUSION SERVICES, LLC

Doing business as

Vital Care of Greensboro

Practice address

3200 Northline Ave Ste 110
Greensboro, NC 27408-7600

Phone

(336) 604-0256

Fax

(336) 604-0257

NPI assigned

Sep 6, 2022

Organization subpart

No

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

Authorized official

Name

Vanetta Cox Bonner

Title

DNP

Phone

(202) 725-8603

Specialties & licenses 5

Addresses

Other names 1

• Vital Care of Greensboro Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dwan Kelsey, NP

  • Adult Health Nurse Practitioner
  • Cary, NC
  • NPI 1629297429
  NPD (past)

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1245951615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 EAGLE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154023",
            "telephone_number": "919-624-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE STE 110",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087600",
            "telephone_number": "336-604-0256",
            "fax_number": "336-604-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELNER SPECIALTY INFUSION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "VANETTA",
        "authorized_official_middle_name": "COX",
        "authorized_official_title_or_position": "DNP",
        "authorized_official_telephone_number": "202-725-8603"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "3200 Northline Ave",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274087616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vital Care of Greensboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa D Kelly, CPNP
• Myra D Kelly, CRNA
• Shenika Kelly
• Taylor Alexandra Kelly, PA-C
• Thomas Andrew Kelly, M.D. FACC
• Shcaleah Kelton
• Brien Richard Kemmery, PHARM D
• Lauren Michelle Kemp, PHARMD
• Detavia Kenan, CMA
• Adam S Kendall, M.D.

• Home Infusion Therapy Pharmacy in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Home Infusion Therapy Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.