Kim Michelle Kelly M.D.

  • NPI 1578585501
According to our database, the NPI number for Kim Michelle Kelly M.D. is 1578585501 and activated since 17 years ago. Kim Michelle Kelly M.D. is an individual provider who specializes in Family Medicine, and the primary practice location is 12710 Se Division Street, Portland, OR 97236. You can also contact Kim Michelle Kelly M.D. via telephone number is (503) 988-3601. Provider NPI information was last updated on 03/08/2010.

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Overview of Kim Michelle Kelly M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 07/25/2006
  • Last updated: 03/08/2010

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 47017
  • License State: MN

Provider Mailing Address

  • Address: 421 Sw Oak St.
    #210
    Portland, OR 97204
  • Phone: 503-988-3663
  • Fax: 503-988-4098

Provider Practice Location

  • Address: 12710 Se Division Street
    Portland, OR 97236
  • Phone: 503-988-3601
  • Fax:

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 47017
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: BK7429930
  • Identifier Type: Other
  • Identifier State: MN
  • Issuer: DEA #

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kim Michelle Kelly M.D.?
  • A: The npi number for Kim Michelle Kelly M.D. is 1578585501.
  • Q: What are Kim Michelle Kelly M.D.'s specialties?
  • A: Kim Michelle Kelly M.D.'s specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Kim Michelle Kelly M.D.?
  • A: The medical license number for Kim Michelle Kelly M.D. is 47017 and issued in MN in USA.
  • Q: Where is Kim Michelle Kelly M.D. practice location?
  • A: Kim Michelle Kelly M.D. is practicing at 12710 Se Division Street, Portland, OR 97236.
  • Q: How to contact Kim Michelle Kelly M.D.?
  • A: You can contact Kim Michelle Kelly M.D. via 503-988-3601.
Medicare Specialty
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Family Health
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Sports Medicine
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