Donald Howard Kelley, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

0973 Issued in SD

Practice address

12637 Merritt Estes Rd
Deadwood, SD 57732-7407

Phone

(605) 578-3857

NPI assigned

Aug 3, 2013

Last updated

Aug 3, 2013By the provider in NPPES

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

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1375488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375488000000",
    "number": "1528490356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12637 MERRITT ESTES RD",
            "city": "DEADWOOD",
            "state": "SD",
            "postal_code": "577327407",
            "telephone_number": "605-578-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12637 MERRITT ESTES RD",
            "city": "DEADWOOD",
            "state": "SD",
            "postal_code": "577327407",
            "telephone_number": "605-578-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DONALD",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-03",
        "last_updated": "2013-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SD",
            "license": "0973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy L Hubbard, PA-C
• Kay K Huhnerkoch, PA
• Ashley Johnson, PHARMD
• Brett M Johnson, PA-C
• Keri Lee Johnson, LMT
• Terry Lloyd Keszler, CRNA
• Jenna Lampe
• Mandi Marie Leite, PMHNP-BC
• Lennard Hopper, D.D.S., P.C. (Deadwood Dental)
• Nicholas Liming, PT

• Anatomic Pathology & Clinical Pathology Physician in Deadwood, SD
• Providers in Deadwood, SD by specialty
• Anatomic Pathology & Clinical Pathology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2013; 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.