Robert John Kelley
Individual provider Active NPI Critical Care Certified Respiratory Therapist · Anaconda, MT
NPI 1104518638 · NPPES record last updated May 23, 2023
Key facts
- NPI
- 1104518638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Certified Respiratory Therapist 2278C0205X
- License
- RCP-LIC-9145 (MT)
- Practice address
- 401 W Pennsylvania Ave
Anaconda, MT 59711-1999 - Phone
- (406) 563-8500
- NPI assigned
- May 23, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RCP-LIC-9145 | MT | MD | Critical Care Certified Respiratory Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Certified Respiratory Therapist | 2278C0205X | RCP-LIC-9145 | MT | Yes |
Addresses
Primary practice location
401 W Pennsylvania Ave
Anaconda, MT 59711-1999
Mailing address
70 Century Dr
Suite 100 #211
Bend, OR 97702
Other providers in Anaconda, MT
- Jill A Johnson
- Bertrand Francis Jones
- Chloe Jones
- Karan Ann Jones
- Deborah Kalarchik
- Ingrid Kelly
- David M Kidder
- Lindsey King
- Craig Kolpin
- Kandace Konola
All providers in Anaconda, MT · Critical Care Certified Respiratory Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.