MICHAEL C KELLY

OLYMPIA, WA
NPI1760425201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WA  AP30006322)
Enumeration Date2006-06-13
Last Update Date2021-07-06
Business Address
MICHAEL C KELLY NP
413 LILLY RD NE
OLYMPIA, WA 98506-5133
Phone number: 360-491-9480
Mailing Address
MICHAEL C KELLY NP
PO BOX 5007
LACEY, WA 98509-5007
Phone number: 800-599-0166
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