Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kim Michelle Kelly, MD

Individual provider Family Medicine Physician · NPI 1578585501

Kim Michelle Kelly, MD is a Family Practice in Portland, Oregon. Graduated from University of Cincinnati College of Medicine in 2003, 23 years ago. Practices with County of Clackamas Office of County Auditor, a 75-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
23
Trained at
University of Cincinnati College of Medicine
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12710 SE Division St
Portland, OR 97236
Phone: (503) 988-3601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 47017 (MN)

Record details

NPI number1578585501
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice County Of Clackamas Office Of County Auditor — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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