Individual provider Active NPI

Karie-Lynn Janet Kelly, M.D.. F.R.C.P.C.

  • Radiation Oncology Physician
  • Spokane Valley, WA
National Provider Identifier
1417027640
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD60014236 Issued in WA
Practice address
13424 E Mission Ave
Spokane Valley, WA 99216-2759
Phone
(509) 462-2273
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD60014236 WA Primary

Addresses

Primary practice location

13424 E Mission Ave
Spokane Valley, WA 99216-2759

Mailing address

6704 W Diagonal Rd
Rathdrum, ID 83858-7176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000488 WA Practitioner - Radiation Oncology 4587665153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spokane Urology PLLCGroup PAC ID 5991603367, 24 clinicians
Medical Oncology Associates PSGroup PAC ID 6901890243, 10 clinicians

Practice addresses (Care Compare)

1401 E Trent Ave
Suite 200
Spokane, WA 99202-2902
Phone (509) 747-3147

6001 N Mayfair St
Spokane, WA 99208-1129
Phone (509) 462-2273

Hospital & facility affiliations

  • Newport Community Hospital Hospital, Newport, WA, CCN 501310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Urology PLLC CurrentSince Jun 1, 2025 Accepting new patients
Spokane Urology PLLC CurrentSince Jun 1, 2025 Accepting new patients
Hot Springs Radiation Oncology, PA Past Accepting new patients
Michael Kos MD, PS Radiation Oncology Past Accepting new patients

Locations

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

1401 E Trent Ave
Ste 200
Spokane, WA 99202
Phone (509) 747-3147

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1417027640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 W DIAGONAL RD",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838587176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13424 E MISSION AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162759",
            "telephone_number": "509-462-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KARIE-LYNN",
        "middle_name": "JANET",
        "name_prefix": "Dr.",
        "credential": "M.D.. F.R.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD60014236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.