GEORGIE KELLEY

TACOMA, WA
NPI1073664793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  PA10003604)
Enumeration Date2007-01-16
Last Update Date2017-09-14
Business Address
-- GEORGIE KELLEY P.A.
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4265
Phone number: 253-383-6120
Mailing Address
-- GEORGIE KELLEY P.A.
1400 POTTERY AVE PORT ORCHARD MEDICAL CENTER
PORT ORCHARD, WA 98366-3768
Phone number: 360-895-5000