Debra Kelly, RTR.

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

18328 Issued in OR

Practice address

665 Winter St SE
Salem, OR 97301-3919

Phone

(503) 561-5707

NPI assigned

Jun 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376746909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170130463",
            "telephone_number": "443-280-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 WINTER ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013919",
            "telephone_number": "503-561-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DEBRA",
        "name_prefix": "Ms.",
        "credential": "RTR.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "MD",
            "license": "R0004808",
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "OR",
            "license": "18328",
            "primary": true
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "NM",
            "license": "RRT 3486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Nicole Kelley, CHW
• William Kelley
• Michelle Nicole Kellogg-Satrum, LMT
• David Kellogg
• Cindy Kelly
• Elizabeth Kelly, RN
• Michael Paul Kelly, PHARM.D.
• Robert B Kelly, M.D.
• Robert R Kelly, M.D.
• Samuel Robert Kelly

• Radiography Radiologic Technologist in Salem, OR
• Providers in Salem, OR by specialty
• Radiography Radiologic Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.