Patrick Joseph Kelty, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HASP612095 Issued in OR

Practice address

1090 Liberty St SE
Salem, OR 97302-4141

Phone

(503) 364-3501

Fax

(503) 363-0406

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811024938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024141",
            "telephone_number": "503-364-3501",
            "fax_number": "503-363-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024141",
            "telephone_number": "503-364-3501",
            "fax_number": "503-363-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELTY",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "HASP612095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert R Kelly, M.D.
• Samuel Robert Kelly
• Tanner J Kelly, MD
• Victoria Kelly
• Michele J Kelsey, THW CRM PSS
• Dorin Meredith Kemmerle, MD
• Cynthia H Kemper, P.T.
• Andrew Kenagy
• Carlin Kenagy, MS, CCC-SLP
• Jennifer Ann Kendeigh, MS

• Hearing Instrument Specialist in Salem, OR
• Providers in Salem, OR by specialty
• Hearing Instrument Specialist 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.