Mrs Kelly Marie Doyle, OTR/L, BSN is a
Occupational Therapist based in Medford, Oregon. Mrs Kelly Marie Doyle is licensed to practice in Oregon (license number 433645) and her current practice location is
400 Crater Lake Ave, Medford, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 613-6505.
NPI number for Mrs Kelly Marie Doyle is 1346876257 and her current mailing address is 113 N Elm St, Canby, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346876257.
Provider's Profile
| Full Name | Mrs Kelly Marie Doyle |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
|---|
| Location | 400 Crater Lake Ave, Medford, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1346876257
- Provider Enumeration Date: 03/23/2020
- Last Update Date: 09/29/2021
Medical Identifiers
Medical identifiers for Mrs Kelly Marie Doyle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346876257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 878453 (Texas) | Secondary |
| 225X00000X | Occupational Therapist | 120588 (Texas) | Secondary |
| 225X00000X | Occupational Therapist | 433645 (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. Mrs Kelly Marie Doyle 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 |
|---|
Mrs Kelly Marie Doyle, OTR/L, BSN
113 N Elm St,
Canby, OR 97013-3519
Ph: (541) 613-6505 | Mrs Kelly Marie Doyle, OTR/L, BSN
400 Crater Lake Ave,
Medford, OR 97504-6808
Ph: (541) 613-6505 |
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