Kelly Business Ventures

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

KELLY BUSINESS VENTURES

Practice address

1325 Lee Road 212
Phenix City, AL 36870-8489

Phone

(706) 615-9994

NPI assigned

Jul 14, 2016

Organization subpart

No

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

Authorized official

Name

Matthew Kelly

Title

Owner

Phone

(706) 615-9994

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1346693389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 LEE ROAD 212",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368708489",
            "telephone_number": "706-615-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 LEE ROAD 212",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368708489",
            "telephone_number": "706-615-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY BUSINESS VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-615-9994"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azad Alamgir Kabir, M.D.
• Karin W Baker MD
• Inder Preet Kaur
• Joseph Michael Keating, PHARMD
• Janee Keith
• Bobbie Kelly
• Kent Chiropractic Clinic
• Gary J Keogh, MD
• Keshiakares LLC
• Minyoung Kim, PHARMD

• All providers in Phenix City, AL
• Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.