Georgie Kelley P.A.

NPI 1073664793 - Physician Assistant - 363AM0700X

NPI Details
NPI 1073664793
Gender Male
Enumeration Date 01/16/2007
Last Updated 05/12/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
209 MARTIN LUTHER KING JR WAY
TACOMA WA, 98405-4265, US
Phone (253) 383-6120
Fax
Business Location
PO BOX 34584
SEATTLE WA, 98124-1584, US
Phone (509) 241-7349
Fax (509) 241-7628
Toxanomy
Taxonomy Code 363AM0700X
License State Washington
License Number PA10003604
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According to our database, Georgie Kelley P.A. NPI is 1073664793, taxonomy code is 363AM0700X and license number is PA10003604, license state is located at Washington. Georgie Kelley P.A. physically located at 209 Martin Luther King Jr Way, Tacoma WA, 98405-4265. NPI Number Georgie Kelley P.A. has the Individual type.

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1073664793 NPI number is provided on an as is basis without warranty of any kind. 1073664793 is maintained by the National Plan & Provider Enumeration System. The contents of Georgie Kelley P.A. are for informational purposes only.