Kelley Medical Equipment and Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KELLEY MEDICAL EQUIPMENT AND SUPPLY LLC

Practice address

117 Market Square
Durant, OK 74701

Phone

(580) 920-2300

Fax

(580) 920-2301

NPI assigned

May 12, 2010

Organization subpart

No

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

Authorized official

Name

Kenneth Kelley

Title

Owner

Phone

(580) 920-2300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1811215171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MARKET SQUARE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "74701",
            "telephone_number": "580-920-2300",
            "fax_number": "580-920-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MARKET SQUARE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "74701",
            "telephone_number": "580-920-2300",
            "fax_number": "580-920-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY MEDICAL EQUIPMENT AND SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-920-2300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KD Family Care Center PLLC
• KD&S Homes Inc
• Megan Keeler
• Lisa Kehrberg, M.D.
• Hailly Renee Keith
• Callie Kelley
• Trenton Cole Kellogg, OD
• Sonya Kelly
• Carol Lynn Kennedy, APRN
• Ricky Kennedy, LPC

• Durable Medical Equipment & Medical Supplies in Durant, OK
• Providers in Durant, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.