JONATHON LUTHER KELLY

BREMERTON, WA
NPI1609049774
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2008-04-09
Last Update Date2008-04-09
Business Address
Mr. JONATHON LUTHER KELLY IDC
1 BOONE RD NAVAL HOSPITAL BREMERTON
BREMERTON, WA 98312-1894
Phone number: 360-475-4841
Mailing Address
Mr. JONATHON LUTHER KELLY IDC
1 BOONE RD NAVAL HOSPITAL BREMERTON
BREMERTON, WA 98312-1894
Phone number: 360-475-4841