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KATHLEEN MARIE KELLY CRNA, RN
NPI 1821012758
Nurse Anesthetist, Certified Registered in Bandon, OR

Active since July 26, 2006
900 11TH ST SE, BANDON, OR 97411(541) 347-2426(541) 347-3923 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kathleen Marie Kelly Crna, Rn NPPES

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

KATHLEEN MARIE KELLY CRNA, RN (NPI 1821012758) is an individual nurse anesthetist, certified registered in Bandon, Oregon, licensed in Oregon (044645) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1821012758
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKATHLEEN MARIE KELLYCredential: CRNA, RN
Location Address900 11TH ST SEBandon, OR 97411-9114
Mailing Address900 11th St SeBandon, OR 97411-9114 · (541) 347-2426 · Fax (541) 347-3923
Phone(541) 347-2426
Fax(541) 347-3923
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821012758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OR · 044645
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
900 11TH ST SE, Bandon, OR 97411
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Other Identifiers 1

Medicare UPINR13881

Other Providers at the Same Location NPPES 5

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

NICHOLAS ROBERT KOVACS MD
Emergency Medicine
900 11TH ST SE
BANDON, OR 97411
Coos County (541) 347-2426
SOUTHERN COOS HEALTH DISTRICT
General Acute Care Hospital (Critical Access)
900 11TH ST SE
BANDON, OR 97411
Coos County (541) 347-2426
SOUTHERN COOS HEALTH DISTRICT
General Acute Care Hospital (Critical Access)
900 11TH ST SE
BANDON, OR 97411
Coos County (541) 347-2426
KENNETH ROBERT BATES MD
Hospitalist
900 11TH ST SE
BANDON, OR 97411
Coos County (541) 347-2426
SOUTHERN COOS HEALTH DISTRICT
Pharmacy (Community/Retail Pharmacy)
900 11TH ST SE
BANDON, OR 97411
Coos County (541) 347-1325

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 Kathleen Kelly's NPI number?

The NPI number for Kathleen Kelly is 1821012758. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Kathleen Kelly located?

Kathleen Kelly practices at 900 11th St SE, Bandon, OR 97411. The listed phone number is (541) 347-2426.

What is Kathleen Kelly's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Kathleen Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.