David M Kelly, CP

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PS00000347 Issued in WA

Practice address

1900 116TH Ave NE Ste 201
Bellevue, WA 98004-3013

Phone

(425) 451-8831

Fax

(425) 450-1598

NPI assigned

Aug 1, 2007

Last updated

Aug 1, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1508057845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 116TH AVE NE STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043013",
            "telephone_number": "425-451-8831",
            "fax_number": "425-450-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 116TH AVE NE STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043013",
            "telephone_number": "425-451-8831",
            "fax_number": "425-450-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS00000347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8405789",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Keiser, ARNP
• Meagan Kelderhouse
• Andrew James Keller, D.M.D.
• Beau J Keller, D.D.S.
• Alexa Kelly, DPT
• Sharon B Kelly, MD
• Shawn Christine Kelly, MS, CCC-SLP
• Kelsey Park a.F.H.
• Kemahli, LLC (Simply Dental Bellevue)
• Pamela Kujawsky Kendrick, LMFT

• Prosthetist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Prosthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.