Lisa Mary Kelz, RN-BSN is a 
Registered Nurse based in Grants Pass, Oregon. Lisa Mary Kelz is licensed to practice in Oregon (license number 077039614RN) and her current practice location is 
1215 Sw G. Street, Grants Pass, Oregon. She can be reached at her office (for appointments etc.) via phone at 
(541) 476-2373.
NPI number for Lisa Mary Kelz is 1689005381 and her current mailing address is 1215 Sw G. Street, Grants Pass, Oregon. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689005381.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Lisa Mary Kelz | 
|---|
| Gender | Female | 
|---|
| Speciality | Registered Nurse | 
|---|
| Location | 1215 Sw G. Street, Grants Pass, Oregon | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1689005381
- Provider Enumeration Date: 12/05/2013
- Last Update Date: 12/20/2013
 
		 
		 
Medical Identifiers
		Medical identifiers for Lisa Mary Kelz such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1689005381 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary | 
| 163W00000X | Registered Nurse | 077039614RN (Oregon) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Mary Kelz is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Lisa Mary Kelz, RN-BSN 1215 Sw G. Street,
 Grants Pass, OR 97527-2544
 Ph: (541) 476-2373
 | Lisa Mary Kelz, RN-BSN 1215 Sw G. Street,
 Grants Pass, OR 97527-2544
 Ph: (541) 476-2373
 | 
		
		 
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