Dr Kelly Anne Supple, MD, MPH in Arlington, WA - Preventive Medicine

Dr Kelly Anne Supple, MD, MPH is a Preventive Medicine - Occupational Medicine physician based in Arlington, Washington. Dr Kelly Anne Supple is licensed to practice in Washington (license number MD60364670) and her current practice location is 3823 - 172nd Street Ne, Cascade Skagit Health Alliance, Arlington, Washington. She can be reached at her office (for appointments etc.) via phone at (360) 657-8700.

NPI number for Dr Kelly Anne Supple is 1861452534 and her current mailing address is 1400 E Kincaid St, Attn: Credentialing, Mount Vernon, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861452534.

Contact Information

	Dr Kelly Anne Supple, MD, MPH
	3823 - 172nd Street Ne, Cascade Skagit Health Alliance, Arlington, WA 98223
	(360) 657-8700
	(360) 657-8717

Physician's Profile

Full Name	Dr Kelly Anne Supple
Gender	Female
Speciality	Preventive Medicine - Occupational Medicine
Location	3823 - 172nd Street Ne, Arlington, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1861452534
Provider Enumeration Date: 03/25/2006
Last Update Date: 09/27/2013

Medical Identifiers

Medical identifiers for Dr Kelly Anne Supple such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861452534	NPI	-	NPPES
1861452534	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	015816 (Maine)	Secondary
207P00000X	Emergency Medicine	102269 (Minnesota)	Secondary
2083X0100X	Preventive Medicine - Occupational Medicine	MD60364670 (Washington)	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. Dr Kelly Anne Supple 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
Dr Kelly Anne Supple, MD, MPH 1400 E Kincaid St, Attn: Credentialing, Mount Vernon, WA 98274-4127 Ph: (360) 428-2500	Dr Kelly Anne Supple, MD, MPH 3823 - 172nd Street Ne, Cascade Skagit Health Alliance, Arlington, WA 98223 Ph: (360) 657-8700

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Preventive Medicine Doctors in Arlington, WA

Dr. Calvin T Jones, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 3823 172nd St Ne, Arlington, WA 98223 Phone: 360-428-2500 Fax: 360-428-6408
Jamie Claire Chatters-elf, COTA Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 N French Avenue, Arlington, WA 98223 Phone: 360-618-6200

Dr Kelly Anne Supple, MD, MPH - Preventive Medicine in Arlington, WA