1. Home
  2. Directory
  3. Oregon
  4. Medford
  5. Nurse Practitioner
  6. NPI Profile

KARY ANNE KELLY NP-PP
NPI 1356795504
Nurse Practitioner - Family in Medford, OR

Active since April 13, 2016
3860 CRATER LAKE AVE, MEDFORD, OR 97504(541) 858-1003(541) 857-4499 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2020, May 16, 2017 (2 updates tracked since 2017).

About Kary Anne Kelly Np-pp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARY ANNE KELLY NP-PP (NPI 1356795504) is an individual family provider in Medford, Oregon, licensed in Oregon (201701664NP-PP) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1356795504
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARY ANNE KELLYCredential: NP-PP
Location Address3860 CRATER LAKE AVEMedford, OR 97504-9741
Mailing Address3860 Crater Lake AveMedford, OR 97504-9741 · (541) 858-1003 · Fax (541) 857-4499
Phone(541) 858-1003
Fax(541) 857-4499
Sole ProprietorNo
Enumeration DateApril 13, 2016
Last NPPES UpdateJuly 13, 20202 updates tracked since enumeration
NPPES CertifiedJuly 13, 2020
✔ NPI 1356795504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OR · 201701664NP-PP✔ Licensed in WY · 29710.1511
3860 CRATER LAKE AVE, Medford, OR 97504
Open in Google Maps ↗

Other Identifiers 1

Medicaid500724440OR

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARUNDHATI CHANDINI ARJUN MD
Internal Medicine (Allergy & Immunology)
3860 CRATER LAKE AVE
MEDFORD, OR 97504
Jackson County (541) 858-1003
DR. KEVIN WILSON PARKS M.D.
Allergy & Immunology (Allergy)
3860 CRATER LAKE AVE, SUITE A
MEDFORD, OR 97504
Jackson County (541) 858-1003
DR. EDWARD KERWIN M.D.
Allergy & Immunology (Allergy)
3860 CRATER LAKE AVE
MEDFORD, OR 97504
Jackson County (541) 858-1003
JALEH OSTOVAR FNP-C
Nurse Practitioner (Family)
3860 CRATER LAKE AVE
MEDFORD, OR 97504
Jackson County (541) 858-1003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kary Kelly's NPI number?

The NPI number for Kary Kelly is 1356795504. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Kary Kelly located?

Kary Kelly practices at 3860 Crater Lake Ave, Medford, OR 97504. The listed phone number is (541) 858-1003.

What is Kary Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kary Kelly was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.