Kelly Ultrasound Center LLC

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

46001 Issued in OH

Legal business name

KELLY ULTRASOUND CENTER LLC

Practice address

140 Milestone Way
Ste. B
Greenville, SC 29615-5065

Phone

(864) 234-1234

NPI assigned

Jul 7, 2011

Last updated

Jun 10, 2016By 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

Rick Dearman

Title

Owner

Phone

(864) 234-1234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1760779011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MILESTONE WAY",
            "address_2": "STE. B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155065",
            "telephone_number": "864-234-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MILESTONE WAY",
            "address_2": "STE. B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155065",
            "telephone_number": "864-234-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY ULTRASOUND CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "DEARMAN",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-234-1234"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "OH",
            "license": "46001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barto Paul Kellett, MD
• Michael Parris Kellett, M.D.
• Erin Culhan Kelley, LMFT
• Katelyn Mae Kelley, PA-C
• Martrell Denise Kelly John, LISW-CP
• Christopher Lee Kelly, PA-C
• Debbie S Kelly, CRNA
• Desmond Peyton Kelly, M.D.
• John William Kelly, M.D.
• Kevin Michael Kelly

• Sonography Radiologic Technologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Sonography Radiologic Technologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.