Leona M. Kelly

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

710 N 20TH St Apt a
Fort Pierce, FL 34950-6105

Phone

(772) 940-6215

NPI assigned

Sep 21, 2019

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

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1265083232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N 20TH ST APT A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349506105",
            "telephone_number": "772-940-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 20TH ST APT A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349506105",
            "telephone_number": "772-940-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LEONA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-21",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Marie Keeler, A.R.N.P.
• Pamala Sue Keen
• Keith J. Kalish DPM, PA
• Erin Kelley, OTR/L
• Stephanie Dawn Kelloes
• Edward Kelmenson, MD
• Harry Greene Kennedy Jr., M.D.
• Kenneth Gilmore DC PA (Gilmore Chiropractic)
• Mackenzie Paige Kenney, FNP-C
• Percy D. Kepfer, MD

• Developmental Disabilities Clinic/Center in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; 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.