Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NATHANIEL JUSTIN KELLY, MD
DeactivatedMR. NATHANIEL JUSTIN KELLY, MD is a Internal Medicine healthcare provider located in GRANTS PASS, Oregon. NPI 1548823552 is deactivated in the NPPES registry. Verify at CMS.
Internal Medicine · GRANTS PASS, OR
This NPI has been deactivated.
The record was deactivated on December 4, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1548823552
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2019 (0.63387978142077 yrs)
- Last Updated
- Oct 18, 2022
- Deactivated
- Dec 4, 2019
- License
-
MD209942 (OR)
Practice Information
- Address
-
500 SW RAMSEYGRANTS PASS, OR, 97527Browse OR providers · Browse ZIP 97527
- Phone
- 5414727000
- Fax
- 5136866868
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in GRANTS PASS, OR
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS R BRANDES | MD | 1992700991 |
| DR. CHUTUOC CHRISTINE TRANDINH | M.D. | 1891790523 |
| DR. JOHN SPENCER COUNTISS | M.D. | 1144225921 |
| DR. HAITHAM BOULOS HADDAD | M.D. | 1922003714 |
| DR. EDWARD GUY GROENHOUT | M.D. | 1760487557 |
| DR. PHILIP BRUCE MURRAY | M.D. | 1346245131 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.