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Georgie Kelley, PA
Medical Physician Assistant in Tacoma, Washington
NPI 1073664793

Georgie Kelley is a Medical Physician Assistant based in Port Orchard, WA and is specialized in Medical. Georgie Kelley practices in Tacoma, WA and has the professional credentials of PA. The NPI Number for Georgie Kelley is 1073664793 and holds a License No. PA10003604 (Washington).

The current practice location address for Georgie Kelley is 209 Martin Luther King Jr Way, Tacoma, WA and can be reached out via phone at 253-383-6120. You can also correspond with Georgie Kelley through the mailing address at 1400 POTTERY AVE, PORT ORCHARD, WA - 98366-3768 (mailing address contact number: 360-895-5000).

Location: 209 Martin Luther King Jr Way, Tacoma, WA, 98366-3768
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Provider Profile Details
NPI Number
1073664793
Provider Name
Georgie Kelley
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
209 Martin Luther King Jr Way, Tacoma, WA, 98366-3768
Phone Number
253-383-6120
Fax Number
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8399370 05 WA
institution
Provider Business Practice Location Address Details
Address
209 Martin Luther King Jr Way
City
State
Zip
98405-4265
Phone Number
253-383-6120
Fax Number
person
Provider Business Mailing Address Details
Address
209 Martin Luther King Jr Way
City
State
Zip
98405-4265
Phone Number
253-383-6120
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10003604 (Washington)
Definition
Definition to come...
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