Kimberly Anne Kelley, AUD, CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

1601000165 Issued in MI

Practice address

9640 Commerce Rd
Suite 106
Commerce TWP, MI 48382-4111

Phone

(248) 360-8825

Fax

(248) 360-8897

NPI assigned

Apr 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David R Kelley Inc

  dba Livingston Hearing Center

  • Audiologist-Hearing Aid Fitter
  • Hartland, MI
  • NPI 1336367077
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962629741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 ELKRIDGE CIRCLE",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "48356",
            "telephone_number": "248-889-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE RD",
            "address_2": "SUITE 106",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824111",
            "telephone_number": "248-360-8825",
            "fax_number": "248-360-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry E Zayid DPM PC
• Jerry E Zayid DPM PC
• Joseph C Lepak DDS PC
• Joseph C Lepak DDS PC (Lepak Family Dentistry)
• Geraldine Beverly Keller, CRNA
• Regina Kelly-Roberts, D.C.
• Hee Kim
• Donald S Kitain, D.O.
• Kristen J Knapp, CRNA
• Tianna Kaitlyn Kubinski, RDN

• Audiologist-Hearing Aid Fitter in Commerce TWP, MI
• Providers in Commerce TWP, MI by specialty
• Audiologist-Hearing Aid Fitter in Michigan

• 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.