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Contact Information

BRIAN W KELLY MD PC
545 SE OAK ST
SUITE F
HILLSBORO, OR97123-4147
 Phone: 503-640-5950
 Fax: 503-648-3140
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRIAN W KELLY MD PC

NPI # 1407030760
LBN Legal business name BRIAN W KELLY MD PC
Authorized official JOANNE JOHNSON - (ACCOUNTS RECEIVABLE BOOKKEEPER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2007
Last updated 02/12/2010 - About 16 years ago
Identifiers
OR License # MD10756
OR Medicaid 213070
OR Other DG4207 GBA RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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