Kathleen Marie Kelly, CRNA, RN is a
Nurse Anesthetist, Certified Registered based in Bandon, Oregon. Kathleen Marie Kelly is licensed to practice in Oregon (license number 044645) and her current practice location is
900 11th St Se, Bandon, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 347-2426.
NPI number for Kathleen Marie Kelly is 1821012758 and her current mailing address is 900 11th St Se, Bandon, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821012758.
Provider's Profile
Full Name | Kathleen Marie Kelly |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 900 11th St Se, Bandon, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821012758
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kathleen Marie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821012758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 044645 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Marie Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathleen Marie Kelly, CRNA, RN 900 11th St Se, Bandon, OR 97411-9114 Ph: (541) 347-2426 | Kathleen Marie Kelly, CRNA, RN 900 11th St Se, Bandon, OR 97411-9114 Ph: (541) 347-2426 |
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