Dr Kelly Anne Supple, MD, MPH - Preventive Medicine in Arlington, WA

Dr Kelly Anne Supple, MD, MPH is a Preventive Medicine - Occupational Medicine physician based in Arlington, Washington. Dr Kelly Anne Supple is licensed to practice in Washington (license number MD60364670) and her current practice location is 3823 - 172nd Street Ne, Cascade Skagit Health Alliance, Arlington, Washington. She can be reached at her office (for appointments etc.) via phone at (360) 657-8700.

NPI number for Dr Kelly Anne Supple is 1861452534 and her current mailing address is 1400 E Kincaid St, Attn: Credentialing, Mount Vernon, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861452534.

Contact Information

Dr Kelly Anne Supple, MD, MPH
3823 - 172nd Street Ne, Cascade Skagit Health Alliance,
Arlington, WA 98223
(360) 657-8700
(360) 657-8717

Map and Direction




Physician's Profile

Full NameDr Kelly Anne Supple
GenderFemale
SpecialityPreventive Medicine - Occupational Medicine
Location3823 - 172nd Street Ne, Arlington, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861452534
  • Provider Enumeration Date: 03/25/2006
  • Last Update Date: 09/27/2013

Medical Identifiers

Medical identifiers for Dr Kelly Anne Supple such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861452534NPI-NPPES
1861452534MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine 015816 (Maine)Secondary
207P00000XEmergency Medicine 102269 (Minnesota)Secondary
2083X0100XPreventive Medicine - Occupational Medicine MD60364670 (Washington)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. Dr Kelly Anne Supple 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 AddressPractice Location Address
Dr Kelly Anne Supple, MD, MPH
1400 E Kincaid St, Attn: Credentialing,
Mount Vernon, WA 98274-4127

Ph: (360) 428-2500
Dr Kelly Anne Supple, MD, MPH
3823 - 172nd Street Ne, Cascade Skagit Health Alliance,
Arlington, WA 98223

Ph: (360) 657-8700

Reviews and Comments


Preventive Medicine Doctors in Arlington, WA

Dr. Calvin T Jones, M.D.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 3823 172nd St Ne, Arlington, WA 98223
Phone: 360-428-2500    Fax: 360-428-6408
Jamie Claire Chatters-elf, COTA
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 315 N French Avenue, Arlington, WA 98223
Phone: 360-618-6200    

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