Brian W Kelly Md Pc

LBN: Brian W Kelly Md Pc
Brian W Kelly Md Pc is an health care organization with primary practice located at 545 Se Oak St Suite F, Hillsboro OR 97123-4147. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Brian W Kelly Md Pc can be contacted via phone (503) 640-5950, or through Johnson, Joanne Elaine via phone (503) 640-5950.

Contact Information

Primary practice address
545 Se Oak St Suite F Hillsboro OR 97123-4147
Phone: (503) 640-5950
Fax: (503) 648-3140
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Joanne Elaine
Phone: (503) 640-5950

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD10756 Oregon

Profile Details

NPI number 1407030760
LBN Legal business name Brian W Kelly Md Pc
DBA Doing business as
Authorized official Johnson, Joanne Elaine
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2007
Last updated Feb 12th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407030760 NPPES
Oregon Other DG4207 GBA RAILROAD MEDICARE
Oregon MEDICAID 213070 GBA RAILROAD MEDICARE

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