Maureen a Kelty MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00029033 Issued in WA

Legal business name

MAUREEN A KELTY MD PC

Practice address

3015 Squalicum Pkwy
#280
Bellingham, WA 98225-1945

Phone

(360) 671-2425

Fax

(360) 671-1470

NPI assigned

Mar 27, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maureen A. Kelty, M.D.

Title

Owner

Phone

(360) 671-2425

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1376715516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY",
            "address_2": "#280",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251945",
            "telephone_number": "360-671-2425",
            "fax_number": "360-671-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY",
            "address_2": "#280",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251945",
            "telephone_number": "360-671-2425",
            "fax_number": "360-671-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN A KELTY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "KELTY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-671-2425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00029033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1071497",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Mattila, LMFT
• Carolyn Mattson, ARNP
• Hannah Joy Mattson, RDH
• Tamara Marie-Sue Mattson, LMHC
• Dwe Maung Maung
• Clare Maven
• Cindy Leigh Maxwell, LMP
• Rachel Ann Maxwell, PA-C
• Russell Stanley Maxwell, CHIROPRACTOR DC
• Stacie Marie Maxwell, MA-SPED/ABA, BCBA

• Specialist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.