Kathleen Marie Kelly, CRNA, RN - Nurse Anesthetist, Certified Registered in Bandon, OR

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.

Contact Information

Kathleen Marie Kelly, CRNA, RN
900 11th St Se,
Bandon, OR 97411-9114
(541) 347-2426
(541) 347-3923



Provider's Profile

Full NameKathleen Marie Kelly
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location900 11th St Se, Bandon, Oregon
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1821012758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse 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 AddressPractice 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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Nurse Anesthetist, Certified Registered Nurses in Bandon, OR


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