Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083672406 Individual Practitioner Female Practitioner

Diane M Kelly , LMP

Specialist • Vancouver, WA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Diane Kelly, LMP is a registered healthcare professional specializing in Specialist in Vancouver, WA. Official NPI practice address is registered at 7902 NE ST JOHNS RD.

Practice Location & Contact Primary Location

Practice Address

7902 Ne St Johns Rd

Vancouver, WA 986651094

Telephone 3605736424

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
159 Specialists

Practicing in Vancouver, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA0005268

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Karol Rich , LMP

Massage Therapist

NPI 1174770184

Licensed Massage Practitioner

NPI 1174772537

Licensed Massage Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 7902 NE ST JOHNS RD, VANCOUVER, WA 986651094 (Tel: 3605736424)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9105 NE 25TH AVE, VANCOUVER, WA 986659057 (Tel: 3605738183)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DIANE KELLY, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MA0005268 in WA)

🟢
Initial NPI Registration & Enumeration May 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083672406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

9105 Ne 25th Ave

Vancouver, WA 986659057

Phone: 3605738183

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.