Leon C Kelly, MS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

256 Chapman Rd Ste 1052-2
Newark, DE 19702-5499

Phone

(302) 689-3562

Fax

(302) 294-1757

NPI assigned

Apr 22, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1710569504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MCCOLLEY ST",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199632067",
            "telephone_number": "302-450-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 CHAPMAN RD STE 1052-2",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025499",
            "telephone_number": "302-689-3562",
            "fax_number": "302-294-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LEON",
        "middle_name": "C",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Newark",
            "affiliation": "N",
            "address_1": "256 Chapman Rd Ste 1052-2",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197025499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Annmarie Kelly, PA-C
• Christine Elizabeth Anne Kelly, M.D.
• Daniel Patrick Kelly
• Delaney Kelly
• John J Kelly III, M.D.
• Lisa M Kelly, CRNP
• Madeline Kelly
• Michelle Kristin Burke Kelly, PA-C
• Miranda Kelly
• Patricia Kelly

• Counselor in Newark, DE
• Providers in Newark, DE by specialty
• Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.