Kathleen M Kelly (NPI# 1821012758, PAC ID# 7719967447) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1821012758 |
| PAC ID by PECOS | 7719967447 |
| Professional Enrollment ID | I20040723000022 |
| Full Name | Kathleen M Kelly |
| Organization Legal Name | SOUTHERN COOS HEALTH DISTRICT |
| Address |
900 11th St Se Bandon OR 97411-9114 |
| Phone Number | 5413472426 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1993 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 1951219310 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381304 | SOUTHERN COOS HOSPITAL & HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 900 11th St Se, Bandon, OR 97411-9114 | 5413472426 | SOUTHERN COOS HEALTH DISTRICT |
| Organization Legal Name | SOUTHERN COOS HEALTH DISTRICT |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wojciech Nowak | Cardiovascular Disease (cardiology) | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Philip J Keizer Jr. | Diagnostic Radiology | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Margaret L Mclain | Nurse Practitioner | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Stephen Fredrick Quinn | Diagnostic Radiology | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Babak Baharloo | Podiatry | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Noel C Pense | Internal Medicine | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Stanley C Pense | General Surgery | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Alexandre R Picard | Emergency Medicine | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Douglas P Orsel | Emergency Medicine | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Scott Matthew Rohrback | Emergency Medicine | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Street Address |
900 11TH ST SE |
| City | BANDON |
| State | OR |
| Zip | 97411-9114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wojciech Nowak | Cardiovascular Disease (cardiology) | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Philip J Keizer Jr. | Diagnostic Radiology | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Margaret L Mclain | Nurse Practitioner | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Stephen Fredrick Quinn | Diagnostic Radiology | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Babak Baharloo | Podiatry | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Noel C Pense | Internal Medicine | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Stanley C Pense | General Surgery | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Alexandre R Picard | Emergency Medicine | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Douglas P Orsel | Emergency Medicine | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Scott Matthew Rohrback | Emergency Medicine | Southern Coos Health District | 900 11th St Se, Bandon, OR 97411-9114 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janis M Petrie | Clinical Nurse Specialist | 48844 Hwy 101, Bandon, OR 97411-8232 | |
| Venus C Smith | Chiropractic | 780 2nd St Se, Suite 6, Bandon, OR 97411-8354 | |
| Gail K Mcclave | Family Medicine | 780 2nd St Se, Suite 7, Bandon, OR 97411-8354 | |
| Mary N Anker | Nurse Practitioner | North Bend Medical Center Inc | 110 E 10th St, Bandon, OR 97411-9157 |
| Jonathon L Park | Family Medicine | North Bend Medical Center Inc | 110 E 10th St, Bandon, OR 97411-9157 |
| Randell P Smith | Nurse Practitioner | Bandon Community Health Center | 1010 1st St Se, Suite 110, Bandon, OR 97411-9301 |
| Gregory Schandelmeier | Internal Medicine | Bandon Community Health Center | 1010 1st St Se, Suite 110, Bandon, OR 97411-9301 |
| Henry H Holmes | Family Medicine | Bandon Community Health Center | 1010 1st St Se, Suite 110, Bandon, OR 97411-9301 |
| Laura Franklin | Nurse Practitioner | Bandon Community Health Center | 1010 1st St Se, Suite 110, Bandon, OR 97411-9301 |
| Carla D Mckelvey | Pediatric Medicine | Bandon Community Health Center | 1010 1st St Se, Suite 110, Bandon, OR 97411-9301 |
| Find all physicians in zip 97411 | |||
| City | BANDON |
| Zip Code | 97411 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | BANDON + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Kathleen M Kelly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.