MICHAEL JOHN KELLY

TACOMA, WA
NPI1093785586
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  26546)
Enumeration Date2006-01-25
Last Update Date2019-03-13
Business Address
MICHAEL JOHN KELLY M.D.
9040 JACKSON AVE
TACOMA, WA 98431-1303
Phone number: 253-982-7084
Mailing Address
MICHAEL JOHN KELLY M.D.
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-982-7084
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