Active NPI
Kendra Kelley
- Hearing Instrument Specialist
- Cleburne, TX
National Provider Identifier
1679847719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 80310
- Practice address
- 211 N Anglin St
Cleburne, TX 76031-4134 - Phone
- (817) 645-5565
- Fax
- (817) 641-3679
- NPI assigned
- Mar 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 80310 | TX | Primary |
Addresses
Primary practice location
211 N Anglin St
Cleburne, TX 76031-4134
Mailing address
400 S Henderson St
Fort Worth, TX 76104-1017
Phone (817) 335-2583
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 |
|---|---|---|---|
| 80310 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1679847719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S HENDERSON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761041017",
"telephone_number": "817-335-2583",
"fax_number": "817-546-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N ANGLIN ST",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760314134",
"telephone_number": "817-645-5565",
"fax_number": "817-641-3679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "KENDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-07",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "80310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.