TIMOTHY L KELLY MD NPI 1992798169

NPI Information

NPI: 1992798169
Provider Name: TIMOTHY L KELLY, MD
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

Address:
732 SW 23RD ST
REDMOND, OR
ZIP 97756
Phone: (541) 548-7483
Get Directions

Timothy L Kelly, MD is a pain medicine anesthesiology in Redmond, OR. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. Timothy L Kelly, MD NPI is 1992798169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

732 SW 23RD ST
REDMOND, OR
ZIP 97756-400
Phone: (541) 548-7483

The enumeration date for this NPI number is 8/23/2005 and was last updated on 11/8/2021.

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	207LP2900X	Anesthesiology	Pain Medicine	MD00041959	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	0197446	OTHER	WASHINGTON	LABOR & IND
2	213668	MEDICAID	OREGON
3	8358756	MEDICAID	WASHINGTON
4	P00326179	OTHER		RR MEDICARE
5	8905947	OTHER	WASHINGTON	CRIME VICTIMS

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: 4/28/2024

NPI Synchronization or Removal

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