NPI 1093110116
Michael B Kelty
Practice location
- Address
- 3975 River Rd N STE 1, Keizer, OR 97303-4811
- Phone
- (503) 676-5631
- Fax
- (503) 676-5617
- Mailing address
- 8800 SE Sunnyside Rd STE 300n, Clackamas, OR 97015-5703
Registered specialties (2)
Hearing Instrument Specialist
Primary
Audiologist-Hearing Aid Fitter
Registry record
- NPI
- 1093110116
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Oct 2014
- Record last updated
- 17 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.