Individual
MICHAEL B KELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3975 RIVER RD N STE 1, KEIZER, OR 97303-4811
(503) 676-5631
(503) 676-5617
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
TX
237700000X
Hearing Instrument Specialist
Primary
HASP761619
OR
Other
Enumeration date
10/31/2014
Last updated
03/17/2018
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