DR. KELLY ANNE SUPPLE MD MPH NPI 1861452534

NPI Information

NPI: 1861452534
Provider Name: DR. KELLY ANNE SUPPLE, MD, MPH
Classification: Preventive Medicine - 2083X0100X
Entity Type: Individual

Specialization: Occupational Medicine

Address:
3823 - 172ND STREET NE
CASCADE SKAGIT HEALTH ALLIANCE
ARLINGTON, WA
ZIP 98223
Phone: (360) 657-8700
Get Directions

DR. Kelly Anne Supple, MD, MPH is an occupational medicine preventive medicine in Arlington, WA. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. DR. Kelly Anne Supple, MD, MPH NPI is 1861452534. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3823 - 172ND STREET NE
CASCADE SKAGIT HEALTH ALLIANCE
ARLINGTON, WA
ZIP 98223
Phone: (360) 657-8700
Fax: (360) 657-8717

The enumeration date for this NPI number is 3/25/2006 and was last updated on 9/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083X0100X	Preventive Medicine	Occupational Medicine	015816	MAINE	No
2	207P00000X	Emergency Medicine		102269	MINNESOTA	No
3	2083X0100X	Preventive Medicine	Occupational Medicine	MD60364670	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H50192	MEDICARE UPIN
2	1861452534	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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