Christopher L Kelley, B.A.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

601 W George St
Carmichaels, PA 15320-1325

Phone

(724) 966-5081

NPI assigned

Apr 1, 2008

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2008.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1306018254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 OLD NATIONAL PIKE",
            "city": "FREDERICKTOWN",
            "state": "PA",
            "postal_code": "153332114",
            "telephone_number": "724-632-6801",
            "fax_number": "724-632-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W GEORGE ST",
            "city": "CARMICHAELS",
            "state": "PA",
            "postal_code": "153201325",
            "telephone_number": "724-966-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007288440093",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE BEHAVIORAL HEALTH",
            "identifier": "328834A764918",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Charles Hickman, M.S., CF-SLP
• Bernard J Imrich, M.D.
• Jacqueline Jackson
• Emily A Janoski
• Keli Ann Reams
• Valerie Ann Kerr-Lapana
• Cynthia Louise Kowalsky, RPH
• John Anthony Kraynak IV, B.S.
• Tracy Lee-Mongeau, B.S.
• Ronald John Lutz Jr.

• All providers in Carmichaels, PA
• Case Manager/Care Coordinator in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.