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Contact Information

THOMAS C KELLEY, DO
1501 NE MEDICAL CENTER DR
BEND, OR97701-6051
 Phone: 541-382-2811
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THOMAS C KELLEY · (Male)

NPI Number 1730293317
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/19/2006
Last updated 04/15/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 02002457A
  • OR License # DO150399
  • OR Medicaid 500622743
  • OR Other 00887741 MEDICARE RAILROAD
Hospital affiliation(s)
  • ALASKA NATIVE MEDICAL CENTER - (Acute Care)
    4315 DIPLOMACY DR
    ANCHORAGE, AK 99508
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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