Individual provider Active NPI

Kirsten Lynn Kelly, PHARMD

  • Pharmacist
  • Tuscaloosa, AL
National Provider Identifier
1891898516
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12896 Issued in AL
Practice address
9750 Highway 69 S
Tuscaloosa, AL 35405-8777
Phone
(205) 366-9626
Fax
(205) 366-1662
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12896 AL Primary

Addresses

Primary practice location

9750 Highway 69 S
Tuscaloosa, AL 35405-8777

Mailing address

9750 Highway 69 S
Tuscaloosa, AL 35405-8777
Phone (205) 366-9626

Other names 1

  • Mrs. Kiri Lynn Kelly Other name

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
Credentials
Doctor of Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891898516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 HIGHWAY 69 S",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354058777",
            "telephone_number": "205-366-9626",
            "fax_number": "205-366-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 HIGHWAY 69 S",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354058777",
            "telephone_number": "205-366-9626",
            "fax_number": "205-366-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KIRSTEN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "12896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRI",
            "last_name": "KELLY",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.