| Timothy L Kelly, MD | |
|
732 Sw 23rd St, Redmond, OR 97756-9400 | |
| (541) 548-7483 | |
| Not Available |
| Full Name | Timothy L Kelly |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 732 Sw 23rd St, Redmond, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992798169 | NPI | - | NPPES |
| 8358756 | Medicaid | WA | |
| P00326179 | Other | RR MEDICARE | |
| 8905947 | Other | WA | CRIME VICTIMS |
| 0197446 | Other | WA | LABOR & IND |
| 213668 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | MD00041959 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy L Kelly, MD 732 Sw 23rd St, Redmond, OR 97756-9400 Ph: (541) 548-7483 | Timothy L Kelly, MD 732 Sw 23rd St, Redmond, OR 97756-9400 Ph: (541) 548-7483 |
Dr. Jerry Bass, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5745 Nw Homestead Way, Redmond, OR 97756 Phone: 541-419-6388 | |
Jeffrey T Donaldson, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-516-3877 |