Kevin Kelley

Primary specialty

VeterinarianTaxonomy code 174M00000X

License

VT60085353 Issued in SC

Practice address

2813 Highway 378
Conway, SC 29527-5307

Phone

(843) 397-0822

Fax

(843) 397-0777

NPI assigned

Oct 7, 2014

Sex

Male

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": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1306249255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 HIGHWAY 378",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295275307",
            "telephone_number": "843-397-0822",
            "fax_number": "843-397-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 HIGHWAY 378",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295275307",
            "telephone_number": "843-397-0822",
            "fax_number": "843-397-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1391 S Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295887741",
            "country_code": "US",
            "telephone_number": "843-215-9387",
            "fax_number": "843-215-9396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-07",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "SC",
            "license": "VT60085353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trena Denise Keels
• Ashley Keister
• Christine Alicia Keller, MS
• Elizabeth A Kelley, MD
• Gaylord Lee Kelley Jr., DC
• Jennifer Kellner, ADC
• Candace C. Kelly, LMSW
• Denise Cline Kelly
• Nanette C Kelly, FNP-C
• Stephen Jeffrey Kesler

• Veterinarian in Conway, SC
• Providers in Conway, SC by specialty
• Veterinarian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.