Individual
DWAIN E KELLEY
Active
Individual
DWAIN E KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1101441
KS
225100000X
Physical Therapist
R1062
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-01441
STATE PT LICENSE
KS
01
—
R1062
STATE PT LICENSE
MO
Enumeration date
06/06/2008
Last updated
06/06/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up