MS. DEBRA KELLY (NPI# 1376746909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376746909 |
| Entity Type | Individual |
| Full Name | MS. DEBRA KELLY |
| Credential | RTR. |
| Practice Address |
665 Winter St Se Salem OR 97301-3919 |
| Mailing Address |
Po Box 463 Carlisle PA 17013-0463 |
| Practice Telephone | 5035615707 |
| Mailing Telephone | 4432802330 |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
RRT 3486 | NM | Technologists, Technicians & Other Technical Service Providers |
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
18328 | OR | Technologists, Technicians & Other Technical Service Providers |
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
R0004808 | MD | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275065237 | Debra Kelly | Occupational Therapist | 3619 Pembrook Dr, Sarasota, FL 34239-6708 | 2017-03-29 |
| 1023442886 | Debra A Kelly | Licensed Practical Nurse | 222 N Little Tor Rd, New City, NY 10956-2616 | 2013-08-29 |
| 1093078867 | Debra J Kelly | Counselor | 114 Sotoyome St, Santa Rosa, CA 95405-4804 | 2012-06-18 |
| 1861617946 | Debra A Kelly | Occupational Therapist | 3219 Knollwood Cir, Geneva, IL 60134-4631 | 2007-04-16 |
| 1154898641 | Debra Eugenia Kelly | Peer Specialist | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2018-11-01 |
| 1003278797 | Debra A. Kelly | Marriage & Family Therapist | 10065 Old Grove Rd Ste 200, San Diego, CA 92131-1664 | 2016-03-22 |
| 1346627403 | Debra Kelly | Speech-Language Pathologist | 202 W 3rd St, Louisville, NE 68037-7089 | 2015-04-28 |
| 1275978116 | Debra J. Kelly | Registered Nurse | 30 Elm Ave, Hyannis, MA 02601-5547 | 2013-05-06 |
| 1730258104 | Debra A. Kelly | Social Worker | 160 Medical Cir, West Columbia, SC 29169-3656 | 2006-11-07 |
| 1386678464 | Debra A Kelly | Nurse Anesthetist, Certified Registered | 6701 N Charles St, Towson, MD 21204-6808 | 2006-07-11 |
| Street Address |
665 WINTER ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659372407 | Raghunandan Kamineni | Internal Medicine | 665 Winter St Se, Suite B0350, Salem, OR 97301-3934 | 2005-08-02 |
| 1356842207 | Emily Stahl Mollenkopf | Registered Nurse | 665 Winter St Se, Salem, OR 97301-3934 | 2018-02-26 |
| 1083166037 | Courtney E Brozovich | Physician Assistant | 665 Winter St Se, Salem, OR 97301-3934 | 2016-10-25 |
| 1215304092 | Caroline Houston | Pharmacist | 665 Winter St Se, Salem, OR 97301-3934 | 2015-08-27 |
| 1982008983 | Julian Mark Williams | Perfusionist | 665 Winter St Se, Salem, OR 97301-3934 | 2014-10-20 |
| 1366861775 | Andrew W Judd | Pathology | 665 Winter St Se, Bldg B 2nd Floor Pathology, Salem, OR 97301-3934 | 2014-04-14 |
| 1215215371 | Atish Chopra | Surgery | 665 Winter St Se, Salem, OR 97301-3934 | 2011-07-23 |
| 1003106071 | Jeffrey David Crawford | Surgery | 665 Winter St Se, Salem, OR 97301-3934 | 2011-04-12 |
| 1528357795 | Mariko Aili Ferronato | Surgery | 665 Winter St Se, Salem, OR 97301-3934 | 2011-03-28 |
| 1174848162 | Trang Nguyen Moore | Internal Medicine | 665 Winter St Se, Salem, OR 97301-3934 | 2010-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932306735 | Terrence Licciardi IIi | Radiologic Technologist | 23 Stiles Rd, Salem, NH 03079-2859 | 2007-06-27 |
| 1467496075 | Tracey Caldwell Dillon | Radiologic Technologist | 1900 Braeburn Dr, Salem, VA 24153-7304 | 2006-06-15 |
| 1407899305 | Pamela A Means | Radiologic Technologist | 1900 Braeburn Dr, Salem, VA 24153-7304 | 2006-06-14 |
| 1326082256 | Kimberly F Crowder | Radiologic Technologist | 1900 Braeburn Dr, Salem, VA 24153-7304 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245897743 | Francois Sidney | Radiologic Technologist | 2345 Nw Salmon Dr, Gresham, OR 97030-2659 | 2019-05-21 |
| 1134379928 | Jean Habecker Cuyler | Radiologic Technologist | 30695 Nw Northrup Rd, North Plains, OR 97133-8405 | 2008-09-29 |
| 1508062076 | Oregon University System | Radiologic Technologist | 1590 E 13th, Eugene, OR 97403-1232 | 2007-06-22 |
| 1215466230 | Zackary Walker Wakerlig | Radiologic Technologist | 1050 W Elm Ave Ste 110, Hermiston, OR 97838-2713 | 2017-06-05 |
| 1215074885 | Brett D Bastian | Radiologic Technologist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2007-01-31 |
| 1750427472 | Dennis R Jobes | Radiologic Technologist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2007-01-29 |
| 1639229578 | Mare Elizabeth Walsh | Radiologic Technologist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2007-01-11 |
Please comment or provide details below to improve the information on MS. DEBRA KELLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.