KAL KELLEY (MD) – Family Medicine Physician, NPI 1326206681

KAL KELLEY (MD) is a healthcare provider. based in Kettle falls, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD150135 (OR). The NPI Number for KAL KELLEY (MD) is 1326206681

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
KAL KELLEY (MD)
NPI
1326206681
Phone
(509) 685-7848
Address
840 S Meyers St
Enumeration Date
22 May 2008
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
5097753245
Graduation Year
2006 (20 years ago)
PAC ID
2961559752
Group Practice PAC ID
0446148761
Professional Enrollment ID
I20091013000324
Address ID
WA991665002RE10XXXCIRX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for KAL KELLEY (MD)

  • 840 S Meyers St

    Kettle Falls, WA 991417005

    Phone: (509) 685-7848

    Fax: (509) 738-4180

    Type: Location

  • PO BOX 808

    CHEWELAH, WA 99109

    Phone: (509) 935-6001

    Fax: (509) 935-4196

    Type: Mailing

  • 358, North Main Street, Colville, Stevens County, Washington, 99114, United States

    COLVILLE, WA 991147005

    Phone: (509) 684-1440

    Fax: (509) 684-2745

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090414000363IEmergency MedicineWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99141)

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Provider's Procedures

KAL KELLEY (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEWA45385Removal of polyps or growths of large bowel using an endoscope2121

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446148761View full group profile
NameSpecialtyState
Family PracticeWA
Family PracticeWA
Physician AssistantWA
Physician AssistantID
Nurse PractitionerWA
Cardiovascular Disease (Cardiology), Interventional CardiologyWA
Internal MedicineWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Is there an official ID for KAL KELLEY (MD) in U.S. healthcare records?
The official identifier for KAL KELLEY (MD) is NPI 1326206681.
Is KAL KELLEY (MD) shown as active in public data?
Registry records indicate KAL KELLEY (MD) maintains an active NPI.
What area of care is associated with KAL KELLEY (MD)?
KAL KELLEY (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is KAL KELLEY (MD) located near Kettle Falls?
KAL KELLEY (MD) currently maps to Kettle Falls, Washington in this extract.
Does KAL KELLEY (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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