Kevin Michael Kelly

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT005995 Issued in GA

Practice address

1287 Cedar Shoals Dr Apt 718
Athens, GA 30605-3596

Phone

(302) 753-5608

NPI assigned

Sep 29, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1912300435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 CEDAR SHOALS DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053552",
            "telephone_number": "302-753-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 CEDAR SHOALS DR APT 718",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053596",
            "telephone_number": "302-753-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Kelley, FNP-C
• Kimberly J Kelley, NP
• Peter Kelley, MD
• Sarah Kelley, APC
• Somerlin Chase Kellum
• Shannon D Kelly, LPC
• Dylan Elijah Kemp
• Genevieve Ann Kempf, PTA
• Kendall P. Weinberg Counseling, LLC
• Allison Jade Kennamer, DC

• Occupational Therapist in Athens, GA
• Providers in Athens, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.