Neely Kelleher

Primary specialty

PharmacistTaxonomy code 183500000X

License

29638 Issued in TN

Practice address

370 S Illinois Ave
Oak Ridge, TN 37830-6221

Phone

(865) 483-7164

NPI assigned

Oct 22, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1770836231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 TRENT LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379224197",
            "telephone_number": "865-671-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S ILLINOIS AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306221",
            "telephone_number": "865-483-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "NEELY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "29638",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TN",
            "license": "29638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Paul Keck, DO
• Al Keim
• Amy Keith
• Bethany J. Keith
• Marie Ellen Keith, MS, RD, LDN
• Lindsey A Kelley, NP
• Tara N Kelley
• Katherine Rau Kerchner, MD
• Amanda Rowena Key-Burke, NP
• Kids Central Pediatrics, Inc.

• Pharmacist in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Pharmacist in Tennessee

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

Verify at the official NPI Registry.