Active NPI
Kevin Kelley
- Home Modifications Contractor
- Pittsburgh, PA
National Provider Identifier
1487194908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- PA048893
- Practice address
- 1820 Wightman St # 1
Pittsburgh, PA 15217-1536 - Phone
- (412) 421-5438
- Fax
- (412) 521-1801
- NPI assigned
- Mar 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | PA048893 | PA | Primary |
| Home Modifications Contractor | 171WH0202X |
Addresses
Primary practice location
1820 Wightman St # 1
Pittsburgh, PA 15217-1536
Mailing address
1820 Wightman St # 1
Pittsburgh, PA 15217-1536
Phone (412) 421-5438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA048893 | PA | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1487194908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 WIGHTMAN ST # 1",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152171536",
"telephone_number": "412-421-5438",
"fax_number": "412-521-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 WIGHTMAN ST # 1",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152171536",
"telephone_number": "412-421-5438",
"fax_number": "412-521-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "PA",
"license": "PA048893",
"primary": true
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.