Joseph Louis Kelly

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

634 Roosevelt Rd
Kohler, WI 53044-1618

Phone

(920) 452-2737

NPI assigned

Feb 10, 2015

Sex

Male

Sole proprietor

Yes

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, last updated by the provider on Feb 10, 2015.

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1275924409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 ROOSEVELT RD",
            "city": "KOHLER",
            "state": "WI",
            "postal_code": "530441618",
            "telephone_number": "920-452-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 ROOSEVELT RD",
            "city": "KOHLER",
            "state": "WI",
            "postal_code": "530441618",
            "telephone_number": "920-452-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JOSEPH",
        "middle_name": "LOUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Michelle Heinen, FNP
• Rachel Hessel
• Christopher Jumes, PT
• Wanda Beth Kalencki, D.O.
• Jennifer Lynn Keller, RDH
• Ellen Marie Lucey, RPH
• Trevor M. McCulley, DPT
• Cheryl A Paul, PA
• Crystal Nichole Perez, RN
• Elizabeth Jean Radermacher, CCC-SLP

• All providers in Kohler, WI
• Home Modifications Contractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.