Kelly L. McCluskey, M.D., LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35.093140 Issued in OH

Legal business name

KELLY L. MCCLUSKEY, M.D., LLC

Practice address

5701 Far Hills Ave
Dayton, OH 45429-2207

Phone

(937) 435-6222

Fax

(937) 438-8451

NPI assigned

Jul 21, 2010

Last updated

Jul 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly L McCluskey, M.D.

Title

President

Phone

(937) 435-6222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1588977383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292207",
            "telephone_number": "937-435-6222",
            "fax_number": "937-438-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292207",
            "telephone_number": "937-435-6222",
            "fax_number": "937-438-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY L. MCCLUSKEY, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCLUSKEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-435-6222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.093140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Sue Kelley, RN
• Lindsay Kelley
• Lisa Kelley
• Rickendra Kelley, SWT
• Kelly Browning LLC (Intention Counseling)
• Candace Faith Kelly, APRN, FNP-C
• Carole Kelly
• Dewanna Kelly, LPN
• Erin K Kelly, MSN
• Jeffrey Robert Kelly

• Obstetrics & Gynecology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.