Kathleen Love Kellen, COTA/L

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

OC00000126 Issued in WA

Practice address

19307 E Cataldo Ave
Spokane Valley, WA 99016-9489

Phone

(509) 228-5400

NPI assigned

Sep 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1497005318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 N SEMINOLE DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088631",
            "telephone_number": "509-466-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19307 E CATALDO AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990169489",
            "telephone_number": "509-228-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEN",
        "first_name": "KATHLEEN",
        "middle_name": "LOVE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "OC00000126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Jo Keblbek, LMP
• John C Keel, MED, LMHC, LPC, LMFT
• Amy J Keene Young
• Jonathan P Keeve, M.D.
• Rebekah R Keifer, CCC-SLP
• Gary Dale Keller, DDS
• Elaine Margaret Kelley, RPH
• Kevin Ryan Kellogg, PA-C
• Alan J Kelly, MD
• Karie-Lynn Janet Kelly, M.D.. F.R.C.P.C.

• Community Health Worker in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Community Health Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.