KEVIN KELLEY (NPI# 1306249255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306249255 |
| Entity Type | Individual |
| Full Name | KEVIN KELLEY |
| Practice Address |
2813 Highway 378 Conway SC 29527-5307 |
| Practice Telephone | 8433970822 |
| Practice Fax Number | 8433970777 |
| Mailing Telephone | 8433970822 |
| Mailing Fax Number | 8433970777 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | VT60085353 | SC | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1391 S Commons Dr, Myrtle Beach, SC 295887741 | 8432159387 | 8432159396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487194908 | Kevin Kelley | Contractor | 1820 Wightman St # 1, Pittsburgh, PA 15217-1536 | 2017-03-02 |
| 1093847584 | Kevin J. Kelley | Psychologist | 530 Union Blvd, Allentown, PA 18109-3230 | 2007-03-10 |
| 1750391108 | Kevin Michael Kelley | Physician Assistant | 27a Centennial Dr, Peabody, MA 01960-7901 | 2006-08-08 |
| 1881654697 | Kevin F Kelley Sr. | Physician Assistant | 101 Strauss Ave, Cbirf, 2nd Mef, Indian Head, MD 20640-1542 | 2006-03-24 |
| 1871053447 | Kevin Kelley | Student in an Organized Health Care Education/Training Program | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2019-03-20 |
| 1700394558 | Kevin Kelley | Counselor | 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 | 2018-01-15 |
| 1497142996 | Kevin Kelley | Registered Nurse | 400 Bald Hill Rd, Suite 520, Warwick, RI 02886-1617 | 2015-04-22 |
| 1922493287 | Kevin Kelley | Behavioral Analyst | 1040 Waltham St, Lexington, MA 02421-8033 | 2015-04-03 |
| 1447675129 | Kevin D Kelley | Physical Therapist | 1 Neumann Way, Bldg. 750, Cincinnati, OH 45215-1915 | 2014-03-04 |
| 1508203936 | Kevin A. Kelley | Physical Therapist | 850 43rd Ave Ste 300, Moline, IL 61265-8401 | 2013-05-24 |
| Street Address |
2813 HIGHWAY 378 |
| City | CONWAY |
| State | SC |
| Zip Code | 29527-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245511435 | Rocky Mountain Holdings LLC | Ambulance | 1700 Airport Road, Conway, SC 29527 | 2011-09-01 |
| 1295946838 | Bonnie Jean Miller | Occupational Therapy Assistant | 3300 4th. Ave., Conway, SC 29527 | 2007-05-25 |
| 1255987269 | Mansi D Patel | In Home Supportive Care | 2408 Westbrook Dr, Conway, SC 29527-3150 | 2019-08-15 |
| 1104862788 | James R Bean | Physician Assistant | 1013 Dunraven Ct, Conway, SC 29527-3154 | 2006-06-21 |
| 1194255315 | Canisha Sharron Rice | Home Health | 1213 Cymmer Ct, Conway, SC 29527-3165 | 2017-06-20 |
| 1578968988 | Pshanda Chante Pugh | Counselor | 1208 Dunraven Ct, Conway, SC 29527-3170 | 2014-10-28 |
| 1205457017 | Heather Melton Lee | Specialist/Technologist | 252 Maidens Choice Rd, Conway, SC 29527-3418 | 2020-05-04 |
| 1093336760 | Chelsea Kamens | Registered Nurse | 357 Shallow Cove Dr, Conway, SC 29527-3458 | 2020-05-04 |
| 1538628193 | Jasmine L Gaddy | Home Health | 728 Rose Moss Rd, Conway, SC 29527-3579 | 2019-03-13 |
| 1801213327 | Tonya Peavy | Registered Nurse | 729 Brown Swamp Rd, Conway, SC 29527-3636 | 2014-03-21 |
| Find all providers in zip 29527 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023487824 | Mark Randall Buchert Jr. | Veterinarian | 1024 Old Tory Trl, Aiken, SC 29801-7636 | 2015-09-22 |
| 1699179721 | Kelly Allison Sulik I | Veterinarian | 150 E Blackstock Rd, Spartanburg, SC 29301-2618 | 2014-10-17 |
| 1972907277 | John Soileau | Veterinarian | 1530 Old Highway 17 N, North Myrtle Beach, SC 29582 | 2014-10-15 |
| 1407259294 | Katie Miller | Veterinarian | 3523 Clemson Blvd, Anderson, SC 29621-1312 | 2014-10-07 |
| 1841693603 | Kelley Elizabeth Minor | Veterinarian | 676 Long Point Rd, Mount Pleasant, SC 29464-8216 | 2014-10-07 |
| 1548663487 | Angela Rawlings | Veterinarian | 470 Azalea Square Blvd, Summerville, SC 29483-7321 | 2014-10-07 |
| 1881039386 | Haskell David Hardy IIi | Veterinarian | 105 Ranch Est, Laurens, SC 29360-6208 | 2013-05-09 |
| 1942544432 | Joseph Michael Cornwell | Veterinarian | 47 E National Blvd, Beaufort, SC 29907-1773 | 2012-11-21 |
| 1336397603 | David Michael Brown | Veterinarian | 14 Roper Corners Cir, Greenville, SC 29615-4833 | 2008-08-28 |
| 1285092403 | Leigh Anne Busbee | Veterinarian | 604 W Main St, Lexington, SC 29072-2504 | 2016-02-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.