Kay Lorraine Kelbley, I.0008635-SUPV

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

15 S Saint Clair St
Dayton, OH 45402-2143

Phone

(937) 684-3303

Fax

(937) 224-0847

NPI assigned

Feb 8, 2023

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1710684014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S SAINT CLAIR ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022143",
            "telephone_number": "937-684-3303",
            "fax_number": "937-224-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S SAINT CLAIR ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022143",
            "telephone_number": "937-684-3303",
            "fax_number": "937-224-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELBLEY",
        "first_name": "KAY",
        "middle_name": "LORRAINE",
        "credential": "I.0008635-SUPV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Keeton, FNP
• Beatrice Keeton, LSW
• Chassity Kendal Keeton
• Preston Keiffer
• Robert D Keighley, D.O.
• Brandy Rene'E Kellar
• Sean Patrick Kelleher, M.D.
• Tiffany Keller-Hale, RN
• Christina Keller
• Christy Keller

• Social Worker in Dayton, OH
• Providers in Dayton, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.