Kelly, Brendan Patrick

Kelly, Brendan Patrick is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Kelly, Brendan Patrick can be contacted via phone (503) 418-5750.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 418-5750
Fax: (503) 418-5793
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301080000 Michigan
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD29308 Oregon
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD60095370 Washington

Profile Details

NPI number 1033233192
LBN Legal business name Kelly, Brendan Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Nov 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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