Kathy J Kelly, is a
Case Manager/care Coordinator based in Portland, Oregon. Kathy J Kelly is licensed to practice in * (Not Available) (license number ) and her current practice location is
2415 Se 43rd Ave, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 238-0705.
NPI number for Kathy J Kelly is 1598385379 and her current mailing address is Po Box 8459, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598385379.
Provider's Profile
| Full Name | Kathy J Kelly |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2415 Se 43rd Ave, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1598385379
- Provider Enumeration Date: 04/21/2020
- Last Update Date: 04/21/2020
Medical Identifiers
Medical identifiers for Kathy J Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598385379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 200842260RN (Oregon) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Kathy J 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 |
|---|
Kathy J Kelly,
Po Box 8459,
Portland, OR 97207-8459
Ph: (503) 238-0769 | Kathy J Kelly,
2415 Se 43rd Ave,
Portland, OR 97206-1600
Ph: (503) 238-0705 |
Reviews and Comments