Kae Kelly Surgical Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

KAE KELLY SURGICAL INC

Practice address

1828 Harper Rd
Beckley, WV 25801-3366

Phone

(304) 253-5690

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Sylvanus Oyogoa, MD

Title

Owner

Phone

(410) 598-5707

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1992242184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 N. EISENHOWER DR",
            "address_2": "PMB 286",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-253-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013366",
            "telephone_number": "304-253-5690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2844 Ritter Dr",
            "address_purpose": "LOCATION",
            "city": "Shady Spring",
            "state": "WV",
            "postal_code": "259188516",
            "country_code": "US",
            "telephone_number": "304-860-9666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAE KELLY SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "OYOGOA",
        "authorized_official_first_name": "SYLVANUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-598-5707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801863139",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Justice
• Presley Justice
• Ashley Justus, MSW, LGSW
• Wadih Kabbara, MD
• Zouhair Kabbara, MD
• Christopher Mike Kamits, LMT
• Erin Kamits
• Kanawha Valley Neurology
• Deborah M Kaplan
• Kimberly Kaplitz

• General Practice Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• General Practice Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.