Individual provider Active NPI

Kelley Elizabeth Minor, DVM

  • Veterinarian
  • Mount Pleasant, SC
National Provider Identifier
1841693603
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
2629 Issued in SC
Practice address
676 Long Point Rd
Mount Pleasant, SC 29464-8216
Phone
(843) 388-1701
Fax
(843) 388-1718
NPI assigned
Oct 7, 2014
Last updated
Oct 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 2629 SC Primary

Addresses

Primary practice location

676 Long Point Rd
Mount Pleasant, SC 29464-8216

Mailing address

676 Long Point Rd
Mount Pleasant, SC 29464-8216
Phone (843) 388-1701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2629SCMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1841693603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 LONG POINT RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648216",
            "telephone_number": "843-388-1701",
            "fax_number": "843-388-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 LONG POINT RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648216",
            "telephone_number": "843-388-1701",
            "fax_number": "843-388-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "KELLEY",
        "middle_name": "ELIZABETH",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "SC",
            "license": "2629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.