| Doctor Name: | MS. PATRICIA MARY KELLY |
| NPI Number: | 1295819076 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN00074801 |
| Business Practice Address: | 1270 Kotnum Road Warm Springs, OR - 97761 |
| Business Phone Number: | 5415531196 |
| Business Fax Number: | |
| Mailing Address: | 1270 Kotnum Road, WARM SPRINGS |
| State: | OR |
| Postal Code: | 97761 |
| Phone Number: | 5415531196 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 08/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | RN00074801 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |