| Kimberly A Kelsey, ARNP | |
|
1251 Lewis River Rd, Suite D, Woodland, WA 98674-9265 | |
| (360) 225-4310 | |
| (360) 225-4339 |
| Full Name | Kimberly A Kelsey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1251 Lewis River Rd, Woodland, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326399189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201402778NP-PP (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP60299882 (Washington) | Primary |
| Entity Name | Portland Adventist Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750091021 PECOS PAC ID: 3274908819 Enrollment ID: O20230412001327 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly A Kelsey, ARNP 1057 12th Ave, Longview, WA 98632-2509 Ph: (360) 636-3892 | Kimberly A Kelsey, ARNP 1251 Lewis River Rd, Suite D, Woodland, WA 98674-9265 Ph: (360) 225-4310 |
Mrs. Stephanie G Wesztergom, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1251 Lewis River Rd Ste D, Woodland, WA 98674 Phone: 360-225-4310 Fax: 360-225-4309 | |
Liesel Tower, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1785 Blacktail Ln, Woodland, WA 98674 Phone: 269-547-8704 | |
Winnet Katiyo, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1251 Lewis River Rd Ste D, Woodland, WA 98674 Phone: 360-225-4310 Fax: 360-225-4339 |